What are the responsibilities and job description for the Business Office Assistant position at Power County Hospital District?
Job Details
Business Office Assistant (Full-time)
Description
As an assistant to the Business Office Manager this position would be responsible for the following :
- Provide complete and accurate information to payers to facilitate correct listings on their websites.
- Periodically review insurance company directories to ensure our providers and facilities are all listed and the information is accurate and up to date.
- Periodically review CMS and Medicaid websites to ensure our providers and facilities are listed and all information is accurate and up to date.
- Payer Credentialing which include submission of applications and reapplications for providers and facilities, maintain CAQH, and seeking out information on insurance plans offered in area and completing applications and reapplications.
- Revenue Cycle Assurance and Support to include auditing payments from Medicare, Medicare Advantage and commercial plans to ensure we are being paid according to most recent contracted rates, work with team to help address and resolve any payment and or reimbursement issues, work with team to resolve and dispute payment denials, file secondary insurance claims as needed, distribute most current Medicare rate letters to Medicare Advantage plans, and provide support to HIM.
- and other duties as assigned.
Qualifications
High School graduate, Associate Degree or equivalent experience preferred
Experience in healthcare billing or medical credentialing preferred
Requirements :
