Job Description


Gunnison, CO

Full Time

Work Hours: M-F, 8a-5p

8/27/2020

Responsible for billing and resolving Medicare and Medicare Advantage payer claims for a variety of hospital services. Ensures all paper and electronic claims are submitted in a timely and accurate manner in compliance with all payer regulations. This Representative must be able to multi-task, perform all billing/rejection/denial analysis, prioritize as necessary to timely resolve accounts for payment, and responsible for ensuring accurate statements for Medicare patients. In addition to keep apprised of Medicare rules and regulations, Representatives must demonstrate proficient use of Medicare FISS/DDE and payer portals along with notation databases. This position requires the use of several software systems, the ability to problem solve, and be detail-oriented. 

Education: Experience or training in healthcare office setting and customer relations.  Must possess a high school diploma or equivalent.  Certified Biller preferred. 

Experience: Minimum 5 years’ experience directly related to billing and A/R management for Medicare receivables in a hospital setting. Working knowledge and understanding of healthcare A/R management, bill types,  HCFA 1500 and UB04 claim forms, and claim clearinghouse systems. Excellent knowledge and understanding of Medicare ICD10, CPT and HCPCS coding. Knowledge of patient billing terminology, collections as well as Medicare and Medicare Advantage billing, rules and regulations and compliance.. Ability to use FISS/DDE, HIS/EHR systems and use of internet, Microsoft windows (Excel, Outlook, Word). Strong understanding of modifiers and Correct Coding Initiative rules.

Licenses/Certification: Certified Biller or HFMA Certification preferred.  

Application Instructions

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