Medicare Biller/ Medicare Collector 813049 in Alamogordo, NM

Job Description | Job Attributes Apply Now

  • Submits all clean claims to the appropriate insurance payer the same day the claim is loaded into the Editor with the exception of weekends and Holidays 
  • Reviews payer EOB’s but not limited to payment accuracy, patient liability, updating the financial class, notify commercial biller to submit secondary or tertiary insurance, and appeal grievance.
  • Files appeals on denied claims and/or forwards to the Nurse Auditor for review/appeal
  • Enter denials on the Denial Log
  • Enter the USPS tracking number in the Patient Accounts system
  • Enter the USPS delivered date in the Patient Accounts system
  • Contact payer to ensure an appeal was received
  • Maintain better than an 80% clean claim average.
  • Attach but not limited to the medical records, implant invoice, and itemized bill to the claim before billing if applicable
  • Process incoming mail correspondence from the payers within 3 business days
  • Work assigned billing reports within 2 business days
  • Work the rejection report daily to resolve problem accounts
  • Follow up with the payer via phone and/or the website for the status of outstanding claims
  • Respond to patient inquiries within 2 business days
  • Respond to interdepartmental inquiries within 2 business days
  • Respond to payer requests within 2 business days
  • Respond to emails within 2 business days
  • Submit newborn notifications if applicable
  • Review/resolve the accounts on the Unbilled Report daily (accounts that are on hold and haven’t been processed by the editor).
  • Enter detailed notes explaining account activity in the Patient Accounts system
  • Process payments over the phone if applicable
  • Print UB and 1500 hardcopy claims when required by the payer
  • Submit primary, secondary and tertiary claims before the timely filing deadline
  • Research late charges to determine the cause; inform supervisor of regular occurrences and trends
  • Report A/R account trending issues to the Supervisor and the Director of Patient Financial Services
  • Follow up with all insurance companies within 30 days of billing if there is no payment on the account
  • Work the eScan reports timely if applicable
  • Forward patient complaints regarding care to the supervisor for entry into the appropriate resolution pathway
  • Notify supervisor of payers that accept electronic billing currently billed hard copy

Requirements

Education

Required:

    High School

Licenses & Certifications

Preferred:

    C-Heartsaver

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Job Attributes

Req ID

MEDIC002930

Job Title

Medicare Biller/ Medicare Collector 813049

Job Type

Full Time

Job Category

Revenue Cycle

Location

CHRISTUS Health - Alamogordo
500 E. 10th Street
Alamogordo, NM  88310 View on a map

Medicare Biller/ Medicare Collector 813049

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