Reimbursement Specialist -
Job Summary: Responsible for compiling itemized hospital bills, verifying patient insurance coverage and computing patient insurance benefits. Works closely with the Admitting Office, Medical Records and physicians' office staff. Responsible for the insurance billing process between the hospital and insurance companies, federal agencies and third party payers. Audits patient accounts to ensure procedure, charges and coding accuracy. Collects payments from commercial insurance companies, state and federal agencies. Participates in performance improvement and continuous quality improvement activities.
Regulatory Requirements:
•High school graduate or equivalent.
•Thorough understanding of different insurance plans, government agencies, Medicare and Medicaid.
•Previous billing experience.
LanguageAbility to communicate in English, both verbally and in writing.
•Other languages preferred.
Skills:
•Thorough understanding of Medicare, Medicaid, HMO's, PPO's, private insurance companies, and Workers Compensation.
•Basic computer knowledge, data entry skills.
•Correct and safe operation of office equipment, i.e., copy machine, adding machine, fax.
Physical Demands:
•For physical demands of position, including vision, hearing, repetitive motion and environment, see following description.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the position without compromising client care.
Additional Information Position Type : Full Time Shift : Day Contact Information
Human Resources
Marcus Daly Memorial Hospital
1200 Westwood Dr
Hamilton, MT 59840 Email:HumanResources@mdmh.org
Phone: 406-375-4407
Fax: 406-375-4816
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