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Meditech Claims Processor – UB-04, HCFA 1500
Location
United States
Posted
38 days ago
Salary
0
Seniority
Senior
Job Description
Meditech Claims Processor – UB-04, HCFA 1500
TruBridge
• Acting as a liaison for hospitals and clinics using TruBridge’s complete business office services • Billing insurance companies for all hospital, hospital-based physician and clinic bills • Pursuing collection of all claims until payment is made by insurance companies • Preparing and submitting hospital, hospital-based physician and clinic claims to third-party insurance carriers either electronically or by hard copy billing • Securing needed medical documentation required or requested by third party insurances • Following up with third-party insurance carriers on unpaid claims till claims are paid or only self-pay balance remains • Processing rejections by either making accounts private or correcting any billing error and resubmitting claims to third-party insurance carriers • Responsible for consistently meeting production and quality assurance standards • Maintaining quality customer service by following company policies and procedures as well as policies and procedures specific to each customer • Updating job knowledge by participating in company offered education opportunities • Protecting customer information by keeping all information confidential • Processing miscellaneous paperwork • Ability to work with high profile customers with difficult processes • Ensuring all claims are submitted daily with a goal of zero errors • Timely follow up on insurance claim status • Reading and interpreting an EOB (Explanation of Benefits) • Responding to inquiries by insurance companies • Denial Management • Meeting with Billing Manager/Supervisor to discuss and resolve reimbursement issues or billing obstacles • Reviewing late charge reports and filing corrected claims or writing off charges as per client policy • Reviewing reports identifying readmissions or overlapping service dates and ignoring, merging, or split-billing according to the payer’s rules and the client’s policy • Reviewing credit reports, resolving credits belonging to a payer when able, and submitting a listing of credits to the facility as required by the payer
Job Requirements
- 3 years of recent Critical Access or Acute Care facility and professional claim billing
- Meditech E.H.R Experience Required
- Computer skills
- Experience in CPT and ICD-10 coding
- Familiarity with medical terminology
- Ability to communicate with various insurance payers
- Experience in filing claim appeals with insurance companies to ensure maximum reimbursement
- Responsible use of confidential information
- Strong written and verbal skills
- Ability to multi-task
Benefits
- Health insurance
- Professional development opportunities
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