HCA, Hospital Corporation of America Medicare Specialist - Billing in Hendersonville, Tennessee
DUTIES INCLUDE BUT ARE NOT LIMITED TO:
Maintains current knowledge of all office operations, job specific requirements and related regulations.
Reviews all claims for completeness, reasonableness of charges, and appropriateness of billing codes, and payer information.
Pursues timely collection of each claim using thorough follow-up efforts appropriate to each payer.
Reviews, makes corrections to, and ensures the legibility of outgoing secondary bills, and other correspondence before sending.
Properly processes and responds to incoming correspondence, including emails.
Contacts and effectively communicates with all parties involved in the resolution of accounts placed.
Completes work request timely and in accordance with instruction.
Performs all of the tasks necessary to maintain current and accurate account information in each of the appropriate systems (i.e. entering notes, claims on hold).
Forwards and logs all documentation related to processes and duties which are transferred to other employees.
Brings problems and troubling accounts, as well as related questions, to his/her immediate supervisor’s attention daily.
Exercises good judgment and makes sound decisions in the absence of detailed instructions or in an emergency situation.
Treats client requests with a high priority. Quickly informs supervisor and any other personnel needed to help carry out the requests timely, accurately, and according to instruction.
Strives to improve current operations by identifying inefficiencies and recurring problems, and by making suggestions to the immediate supervisor.
Adapts and conforms to company and client requirements not specified in this job description.
Promotes the Medicare Service Center and helps to identify the necessary resources to meet the needs of its customers.
Practices and adheres to the “Code of Conduct” philosophy and “Mission and Value Statement”
Other duties as assigned
KNOWLEDGE, SKILLS & ABILITIES
Analytical and organizational skills.
Ability to identify, set, and follow priorities.
Strong PC and data entry skills.
Ability to communicate effectively with employees, clients, and others.
Character to maintain strict confidentiality.
KNOWLEDGE – preferred
Knowledge of Medicare Regulations
Knowledge of UB-04 billing
Knowledge of ICD10 and CPT4
Knowledge of hospital business office operations
High school graduate or equivalent.
Job: *Finance Acctg Billing Claims & Revenue
Title: Medicare Specialist - Billing
Location: Tennessee-Hendersonville-Medicare Service Center
Requisition ID: 08910-156632