What are the responsibilities and job description for the PFS MEDICARE SPECIALIST-Central Billing Office position at NORTHERN REGIONAL HOSPITAL?
Northern Regional Hospital is transitioning rehabilitation services from an outsourced contract model to in-house. Effective October 1, 2024, rehabilitation services, to include inpatient, skilled care, outpatient, and wound care services, will be provided by NRH staff.
Life Changing Careers Start Here!
Northern Regional Hospital is always looking for talented individuals to join our dedicated staff. Our superior ratings are a testament to our team’s commitment to quality and service excellence. We seek talented and diverse faculty and staff to continue to provide superior care.
Northern is a place where you can grow your career, no matter where you are professionally. We believe you will find it to be more than just a job. When you choose to work at Northern, you become part of a family of caregivers supporting the communities we serve.
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Choose Well. Choose Northern.
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At Northern, we strive to provide benefits that meet you where you are–not only today, but tomorrow.
We recognize that our ultimate success depends on our talented and dedicated workforce – our Northern Stars.
We understand the contributions of each employee make our accomplishments possible. Our goal is to provide a comprehensive program of competitive benefits to meet your needs today and anticipate your needs tomorrow. Through our benefits programs, we strive to support you and your family by providing a benefit package that is easy to understand, easy to access, and affordable.
- Competitive Compensation – and be paid daily!
You deserve to get paid every day, so we have partnered with DailyPay. You can get your pay any time before payday!
- Medical, Dental, and Vision Insurance
- Paid Time Off
- Short Term and Long Term Disability Insurance
- Life Insurance for Employee, Spouse, and/or Dependents
- Accidental Death and Dismemberment Insurance
- Accident, Critical Illness and Hospital Indemnity
- Flexible Spending Accounts (FSA) for Healthcare and Daycare Expenses
- Northern $elect Retirement Plan (403(b) and 457(b)) and Roth IRA
- Educational Assistance of up to $10,000 per program or degree
- Celebrate! - Pick a gift to recognize your fifth anniversary and every five years of service thereafter
- 50% discount on membership at Northern Wellness & Fitness Center
- Employee discount programs
- Employee Health Clinic
- Ability to read, write and speak English clearly and fluently.
- Microsoft Office, Word, Excel, MS Windows and basic computer operations.
- Type 30 correct words per minute or enter 87 correct key strokes on the Alpha Data Entry Test.
- Associates Degree in Business
- Three years’ experience in insurance billing and follow-up.
- Certification from an accredited organization such as AAHAM or HFMA.
- Completion of an approved Medical Terminology courses
Experience in all areas of billing and follow-up procedures. Experience and knowledge of CPT, HCPCS and ICD-10
coding and the Fiscal Intermediary Shared System (FISS). Experience with Medicare Secondary Payer Guidelines and
steps to take to resolve MSP issues. Works traditional Medicare and Medicare Advantage accounts as well as hospice and
nursing home claims due to overlaps. Reviews patient accounts monthly and follows up appropriately until the accounts
are resolved. Processes daily mail for his/her accounts. Works daily reminders from the hospital customer service
representatives. Reviews and processes the payer remit should there be any rejected accounts or line item denials. Works
with EHR and Health Information Management on Medicare denials and appeals. Assists in researching credit balances as
well as resolving those credit balances. Adheres to the hospital billing compliance plan. Assists in other areas of Patient
Financial Services Department when needed.
