- Depends on experience
- Part Time
- Employer Likely to Respond
- Responsibilities include billing, reviewing patient accounts and completing active follow-up on delinquent accounts with a focus on "clean claims" and A/R aging.
- Additional duties include rebills, working correspondence, and interpreting payer guidelines.
High School graduate or equivalent. Some college preferred.
One year's experience in a hospital, insurance or office environment.
Ability to interpret and generate written correspondence utilizing proper grammar, spelling and composition skills.
Knowledge of Medicare and/or Medicaid guidelines required.
Experience processing commercial and managed care claims preferred.
Computer knowledge required.
Experience with automated systems preferred.
Medical terminology preferred.
Ability to operate office equipment, such as copy machines, fax machine and printers.
Must be able to work independently with minimal supervision.
Good communication skills essential.
Prior experience involving public contact.
Light work, exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and negligible amount of force constantly to move objects.
Involves sitting for long periods of time.
Occasionally requires standing, walking, bending, stooping, reaching, lifting, pushing and pulling.
Requires near and midrange vision, talking, hearing, repetitive movement of wrists, hands and fingers.
Requires viewing computer screens for extended periods.
The incumbent works in a good environment under clean working conditions; one or more disagreeable elements may be present to a small degree from time to time.
There is potential for exposure to contagious diseases from patient contact but these will be minimal if proper safety precautions are taken.
Actively participates in performance improvement, as requested; i.e. attends PI "LEAN" Committee meetings, submits quarterly reports, conducts audits, etc.
Maintains knowledge of current regulatory standards as they pertain to the department(s) and assures compliance and communication of standards. Identifies departmental performance improvement opportunities and assist with the PI process.
Reinforces HMHD's values and promotes HMHD's Compliance Plan and understanding of applicable laws and standards.
Demonstrates proficiency in understanding the materials presented during the corporate integrity and compliance training and education program.
Attends the required corporate integrity and compliance training and education programs.
Attends (in a timely manner) the compliance training in accordance with HMHD policies.
Assists in identifying "high risk" issues.
Complies with all HIPAA standards. Section Average
Job Specific Requirements
Process and complete appeals within a timely manner.
Review incoming bulletins from governmental payers, and share with appropriate personnel.
Retrieve medical records from Healthport and mail to payer in a timely manner.
Complete follow-up on delinquent accounts by telephone, internet, or correspondence to resolve outstanding balances and to determine payment date.
Work in tandem with other departments i.e. HIM (Medical Records) to ensure that requests are complete. Post recoups on a daily basis.
Contractuals reviewed and adjusted when necessary.
Reconciliation of payer remit after electronic posting to patient accounts.
Process and complete assigned bills within 48 hours of receipt.
Complete required Confirmation Acceptance Reports, and Transmittal reports on a daily basis.
Utilize current Age Trial Balance as a resource with a focus on accounts > 30 days in age.
Review and complete reminders consistently, and in a timely manner.
Follow-up on pending correspondence and other mail received within 72 hours of receipt.
Enter accurate and thorough comments on each patient account.
Resolve issues and/or concerns amicably in a timely manner. Involves PFS Leader when needed.
Promote and demonstrate excellent customer service at all times with internal and external customers to include patients, physicians, co-workers and all other customers.
Communicates effectively and expresses ideas clearly, actively listens and follows appropriate channels of communication.
Adaptable and responsive to change.
Uses time clock accurately and is punctual on a consistent basis.
Demonstrates a positive attitude in all assigned task and towards others.
Follows "Call-In" policy by notifying PFS Leader of absence. Absences during evaluation period: 0-6 Occurrences = Meets Requirements. 7 or more Occurrences = Does not meet requirements.
Adheres to hospital and department dress code. Maintains a professional appearance at all times.
Consistently contributes to the achievement of excellence in healthcare through the quality and caring values of the mission and vision of Hunt Memorial Hospital District.
Perform special duties and projects as assigned.
Would you like to have a positive influence on the lives of patients and families in Hunt County, Texas? With a career at Hunt Regional Healthcare, you’ll have that chance.
As a member of our team, you’ll have the opportunity to live out our mission and vision through service-oriented care. Hunt Regional aims to be the preferred health care system in the communities and surrounding areas we serve. We do that through state-of-the-art technology, continually advancing service lines, and through providing a safe healing environment and outstanding patient experience for each individual we treat. Our values and quality care set our organization apart.
Hunt Regional Healthcare is proud to offer a competitive benefits package that is designed to work for you. If you're looking for premium healthcare coverage, you've come to the right organization.
Core benefits include:
- Medical benefits
- Dental & vision benefits
- Long-term disability
- Voluntary accidental death & dismemberment
- Life insurance
We also provide a robust supplementary benefits package, including:
- Prescription coverage
- Wellness perks
- Employee counseling
- Retirement packages
- Flexible spending accounts
- Paid vacation time off
- Generous sick leave allowance
- Other voluntary benefits