Insurance Billing Follow Up (Prn, As Needed) at Wayne Memorial Hospital

I. Job Summary Handles all activity relative to billing of all insurance claims. Making sure corrections are donein Paragon & Claims Billing Software System are completed to ensure that production of clean claims forrebilling. Works CRC report daily and forwards to appropriate person responsible for following upand completing.Assignment requires planning and arranging all billers work to accomplish/complete daily/weekly job duties. Applies own knowledge to solve routine operational problems. Must be able to handle a variety of tasks while meeting established deadlines.II. Duties And ResponsibilitiesDownloads all accounts from Paragon system each morning. Audits all accounts for missingcharges and missing requirements. when this is completed transmits correct completed claims.Furnishes needed claim information to assure payment. Assists with correspondence.Establishes a patient file for claims in need of diagnosis information and/or coding. Entersneeded information on the claims.Ensures rejected claims have proper codes and enters such requirements and/or changesthe Paragon system and rebills the claim.Maintains knowledge of all Commercial payer requirements. Maintains file ofalerts and bulletins and distributes to appropriate staff that may pertain to.Assists with special projects assigned by the PFS DirectorTyping is requiredIII. EducationA high school diploma or the equivalent is required.Post high school business training is desirable.IV. Qualifications And ExperiencePrior experience in a medical office or business office setting with an emphasis on adult public contact and attention to detail is required.V. Physical DemandsHear and understand both face-to-face and telephone conversations.See sufficiently to complete forms read instructions and use calculator for mathematical computations.Converse appropriately with individuals both inside & outside the hospital.Give and receive simple and complex instructions.Read and understand written language.Concentrate on and remember varied job duties.Prioritize work of position.Solve problems ranging from simple to complex.Use both hands for typing for long periods of time filing etc.Carry less than 10 pounds on a regular basis and up to 25 pounds occasionally.Work requires sitting at desk for long periods of time to complete paperwork type and converse on telephone.Must be able to perform the essential functions of the job without being a danger (liability risk etc.) toself or others.VI. Working ConditionsWorks in a well lighted well ventilated office environment. Activity level is high with constant traffic in and out of department. Noise level is often a problem. Interruptions are very frequent.VII. AcknowledgmentThis is not necessarily an exhaustive list of all responsibilities skills duties requirements efforts or working conditions associated with the job. While this is intended to be an accurate reflection of the current job management reserves the right to revise the job or to require that other or different tasks be performed when circumstances change ( e.g. emergencies changes in personnel workload rush job or technological developments). Key Skills Sales Experience,Time Management,Marketing,Customer Service,Communication skills,Retail Sales,Business Management,Outside Sales,Telemarketing,Insurance Sales,Medicare,Phone Etiquette Employment Type : Unclear Experience: years Vacancy: 1