Medicare Biller

Under the immediate supervision of the Manger of A/R Operations, is responsible for ensuring all charges are processed and billed accurately and in a timely manner.

Responsibilities:

• Billing proficiency and compliance

• Demonstrates proficiency in the areas of Medicare billing regulations governing MSP, LCD’s, NCD’s and FISS/DDE

• Performs accurate and efficient patient account claim follow-up as needed.

• Works Insurance credits in a timely manner.

Organizational Expectations:

• Attendance: Attendance is an essential job function; employee comes to work daily, on time, and completes scheduled shift

• HIPAA: facilitates to maintain patient confidentiality

• Internal communication: contributes to positive team performance and a culture of service excellence through effective communication, active listening, and respect.

• Interpersonal relationships: maintains appropriate interpersonal relationships with staff, patients, and visitors at all times. Works as a team member with other departments.

• Safety: Practices workplace safety daily

Employee Engagement:

• Actively participates in all hospital Service Excellence initiatives and trainings

• Attends and participates in a minimum of 50% of Division of Surgery and other staff meetings and signs off on review of 100% department staff meeting minutes

• Completes all required annual education on or before the due date

• Develops educational programs within area of expertise

• Collaborates with clinical team to meet staff and patient educational needs.

Knowledge Skills and Abilities: Individuals must possess these knowledge, skills, and abilities or be able to explain and demonstrate that they can perform the primary functions of the job, with or without a reasonable accommodation, using some combination of skills and abilities and possess the necessary physical requirements, with or without a reasonable accommodation, to safely perform the essential functions of the job.

• Minimal physical effort required with occasional light lifting to a maximum of 25 pounds; stooping; and pick, pinch, type, or otherwise work primarily with fingers

• Ability to effectively manage considerable mental stress

• Ability to express or exchange ideas by means of the spoken word

• Ability to receive detailed information through oral communication

• Ability to communicate effectively with co-workers and convey information in a clear, concise and accurate manner

• Familiarity with computer and other business machines

Qualifications:

High school diploma or equivalent and 3-5 years hospital billing experience Medicare/Government billing preferred.