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Hill-Rom Billing Specialist in St. Paul, Minnesota

Description

JOB SUMMARY:

The Billing Specialist will coordinate and execute processes of front-end medical billing of commercial insurance and government program claims for our Respiratory Health products. This consists of all billing activities including initial, re-authorization, and purchases across all lines of business (Commercial/Medicare/Medicaid). The position is responsible for ensuring claims practices follow federal and state billing regulations.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

  • Review patient files and supporting documentation for completeness and accuracy. Identify missing / inaccurate information and gather / correct, as necessary in accordance with billing guidelines.

  • Complete quality review of each patient file to ensure claims are billed accurately and comply with each payer’s rules and regulations.

  • Generate commercial insurance and government program claims in system and review for accuracy.

  • Timely processing of claims; includes: EDI submission via clearinghouse, printing of claims, sorting attachments and mailing.

  • Assist with managing unbillable revenue, rental hold, clearinghouse rejected claims, and other reports daily and provide updates to management as needed.

  • Reference reimbursement policies/procedures assigned to this role and keep current with changes in billing regulations, insurance specific policies, as well as company policy and procedures.

  • Identify any areas of opportunity for improved documentation or efficiency in daily work and communicate back to Revenue Cycle Supervisor for purpose of staff professional development and revenue impacts.

  • Perform other project and duties as assigned.

Qualifications

EDUCATION AND EXPERIENCE:

  • High school diploma or equivalent required

  • 3 years of experience in a medical related business environment required; associates degree or higher may substitute for 2 years of experience

  • Experience working with high-dollar DME preferred

  • Billing database software experience required

  • Clearinghouse and payer portal experience preferred

QUALIFICATIONS AND SKILLS:

  • Knowledge of insurance industry and third-party payer processes

  • Proven data entry skills required

  • Ability to organize and prioritize workload

  • Attention to detail and accuracy

  • Ability to work independently and manage workload

  • Strong written, verbal, and interpersonal communications

  • Proficiency in Microsoft Office software

Job: Finance

Primary Location: United States-Minnesota-St. Paul

Schedule Full-time

Travel No

Posting Entity Hillrom

Req ID: 21123996

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