Hospital Medical Biller

Hospital Biller with Government Billing and Follow-Up Experience | Tulsa, OK 

M-F 8-5

$20 /hour DOE

Job Summary:

We are seeking a detail-oriented and experienced Hospital Biller with a strong background in government billing and follow-up. The ideal candidate will be responsible for accurately preparing, submitting, and following up on claims to government payers to ensure timely and accurate reimbursement for services rendered.

Key Responsibilities:

Government Billing:

• Prepare and submit claims to Medicare, Medicaid, and other government payers.
• Ensure claims are in compliance with payer requirements and regulations.
• Utilize Electronic Data Interchange (EDI) systems for claim submission.

Claim Follow-Up:

• Monitor and track the status of submitted claims.
• Perform follow-up activities on unpaid or denied claims.
• Communicate with government payers to resolve claim issues and discrepancies.
• Appeal denied claims and ensured appropriate reimbursement.

Accounts Receivable Management:

• Maintain accurate records of all billing and follow-up activities.
• Reconcile accounts receivable reports and identify discrepancies.
• Work with the finance team to ensure accurate and timely posting of payments.

Compliance and Documentation:

• Stay updated on changes in government billing regulations and payer policies.
• Maintain comprehensive documentation of billing and follow-up activities.
• Ensure all patient information is handled with the utmost confidentiality and in accordance with HIPAA regulations.

Collaboration:

• Collaborate with clinical and administrative staff to ensure accurate billing information.
• Provide training and support to other billing staff as needed.
• Assist with audits and provide necessary documentation to auditors.

Qualifications:

Education and Experience:

• High school diploma or equivalent; Associate degree in healthcare administration, business, or related field preferred.
• Minimum of 3-5 years of experience in hospital billing with a focus on government payers.
• Extensive experience in claim follow-up and denial management.

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High school diploma or equivalent; Associate degree in healthcare administration, business, or related field preferred.

Minimum of 3-5 years of experience in hospital billing with a focus on government payers. Extensive experience in claim follow-up and denial management.
* Compile, compute, and record billing, accounting, statistical, and other numerical data for billing purposes. Prepare billing invoices for services rendered or for delivery or shipment of goods.
* Verify accuracy of billing data and revise any errors.
* Resolve discrepancies in accounting records.
* Prepare itemized statements, bills, or invoices and record amounts due for items purchased or services rendered.
* Operate typing, adding, calculating, or billing machines.
* Post stop-payment notices to prevent payment of protested checks.
* Verify signatures and required information on checks.
* Keep records of invoices and support documents.
* Perform bookkeeping work, including posting data or keeping other records concerning costs of goods or services or the shipment of goods.
* Contact customers to obtain or relay account information.
* Route statements for mailing or over-the-counter delivery to customers.
* Monitor equipment to ensure proper operation.
* Fix minor problems, such as equipment jams, and notify repair personnel of major equipment problems.
* Review documents, such as purchase orders, sales tickets, charge slips, or hospital records, to compute fees or charges due.
* Track accumulated hours and dollar amounts charged to each client job to calculate client fees for professional services, such as legal or accounting services.
* Weigh envelopes containing statements to determine correct postage and affix postage, using stamps or metering equipment.
* Consult sources, such as rate books, manuals, or insurance company representatives, to determine specific charges or information such as rules, regulations, or government tax and tariff information.
* Compare previously prepared bank statements with canceled checks and reconcile discrepancies.
* Match statements with batches of canceled checks by account numbers.
* Take orders for imprinted checks.
* Encode and cancel checks, using bank machines.
* Load machines with statements, cancelled checks, or envelopes to prepare statements for distribution to customers or stuff envelopes by hand.
* Compute credit terms, discounts, shipment charges, or rates for goods or services to complete billing documents.
* Update manuals when rates, rules, or regulations are amended.
* Estimate market value of products or services.
* Review compiled data on operating costs and revenues to set rates.
* Answer inquiries regarding rates, routing, or procedures.
* Compile reports of cost factors, such as labor, production, storage, and equipment.
* Create billing documents, shipping labels, credit memorandums, or credit forms.
* Perform general administrative tasks, such as answering telephones, scheduling appointments, and ordering supplies or equipment.
* Return checks to customers or retrieve checks returned to customers in error, adjusting accounts and answering inquiries about errors as necessary.

Salary : $20