What are the responsibilities and job description for the Hospital Medical Billing Specialist position at NSN Revenue Resources, LLC?
Description
Overview
Reporting to the Billing Supervisor, Hospital Medical Billers (Level II) are responsible for the daily entry of charges for their assigned surgical centers. This will include but is not limited to the following: assign modifiers, diagnosis codes, and revenue codes according to reimbursement guidelines resulting in claim reimbursement.
Role and Responsibilities
- Act as a resource for all critical aspects of the CBO which includes liaising between departments as well as assisting Level 1 Billers.
- Execute the recurring billing workflow and generate and transmit to designated electronic claims clearinghouse daily.
- Work DNFB, Hold Timeline Report and Late charges for assigned facilities.
- Resolve claim rejections daily to ensure clean claims are transmitted and received by the appropriate payer.
- Edit Failures, Coding Updates, answer facility emails as well as CSO departmental emails, and billing as needed.
- Ensure timely follow-up and resolution of internal and external inquiries of billing issues (i.e., operative notes, invoices, or implant pricing, etc.)
- Reconcile revenue and billing during the month end close process.
- Maintain current knowledge of health care billing laws, rules, and regulations and developments.
- Help with reports/special projects as needed and other duties as assigned in accordance with priority.
Requirements
- One year’s previous experience or some hospital clerical experience or medical terminology preferred.
- Must demonstrate a positive demeanor, good verbal, and written communication skills, and be professional in both appearance and approach.
- Must be able to handle potentially stressful situations and multi-task and handle competing priorities while meeting or exceeding deadlines.
- Knowledge or experience working with a variety of health care insurance payers preferred.
- Any of the following: Cerner, nThrive, Advantx, Waystar, Meditech, and/or EffecientC experience preferred.
- Must have Intermediate computer proficiency in Microsoft Office including Excel and Outlook.
- High school graduate or equivalent.
