Hospital Insurance Billing Specialist - Inland Imaging - Spokane, WA
Inland Imaging 7 critiques – Spokane, WA
Common Description: Performs medical billing features as associated to each Institutional and Skilled claims. Evaluations and resolves declare edits and rejections and resubmits clear claims. Evaluations unpaid claims, together with denials, and appropriately resolves and resubmits adjusted/corrected claims. Researches and/or resolves overpayments/credit score balances.
Important Duties/Duties: To carry out this job efficiently, a person should have the ability to carry out every important obligation satisfactorily. The necessities listed under are consultant of the information, talent, and/or capability required. Affordable lodging could also be made to allow people with disabilities to carry out the important features.
- Liable for all phases of billing to authorities and business insurers, together with preliminary billing of unpolluted claims electronically or on paper, subsequent comply with up on unpaid claims to the purpose of cost or decision of the declare, and resolving credit score balances.
- Prioritizes assigned worklist of aged accounts appropriately and works on ageing accounts to their decision.
- Evaluations and processes digital claims, declare edits and deletions appropriately and compliantly.
- Interprets billing laws precisely and inside federal, state and third social gathering billing laws and insurance policies.
- Makes use of numerous shopper host techniques in an effort to analysis and rebill claims
- Different particular tasks and duties as assigned.
Qualifications and Expertise Qualifications:
- Schooling: Excessive Faculty Diploma/GED required
o Two yr medical billing course is desired
- Expertise: A minimum of 2 years of expertise in billing necessities for both authorities or business insurers, ideally expertise in hospital billing, however will settle for equal in doctor billing
o Working information of presidency hospital cost methodologies together with OPPS, Crucial Entry Hospital technique II, or each most popular
o CPT, HCPCs and ICD-9 coding expertise most popular
o Expertise with digital claims scrubbing and clearinghouse methods most popular
- Licensure: N/A
- Certifications: N/A
- Pc Expertise: Expertise with the next pc purposes is very desired: Microsoft Workplace merchandise (Outlook, Phrase, Excel), Kronos; Replicon; Web, Intranet, Meditech, Healthland, Techtime, EMDs, Epic or different hospital or doctor accounting system.
- Background Verify:
o Should be capable of move a background verify required by RCW 43.43.830-840 to work with youngsters underneath the age of 16, developmentally disabled individuals or weak adults
o With a view to adjust to provisions set forth in Sections 1128 and 1156 of the Social Safety Act, all new staff of Inland Imaging Enterprise Associates will probably be checked towards the LIST OF EXCLUDED INDIVIDUALS offered by the Division of Well being & Human Providers, Workplace of the Inspector Common (OIG). Staff should not be included on this record.
- Drug Check: Eligible staff should be capable of cross a submit-supply, pre-employment drug check.
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