Experience Inc. Jobs

Job Description

Responsible for research and roll-out of federal and state updates pertaining to hospital and billing compliance

Works to protect revenue based upon regulatory compliance requirements.

Responsible for analysis of audit findings to report to senior management findings and recommendations to prevent future loss as well as protect current revenue.

Educates staff and other departments regarding federal and state laws as it pertains to hospital procedures and billing guidelines.

Disseminate government updates to healthcare providers, ensuring necessary changes are made to processes, charge master, and/or billing process as required within the time frame for accurate and compliant billing.

Works independently managing timelines, projects and audits to ensure compliance within required time frames and go live dates.

Responsible for hospital enrollment and revalidation of government agencies.

Handles billing office reporting to government agencies as required.

Manage audits both external and internal as it pertains to the billing office.

Responsible for communicating findings and overseeing corrective actions for audits within the operational units.

Responsible for upkeep of the charge master and ensuring the compliance and integrity of the charges and billing.

Performs charge master integrity audits as well as charge audits to ensure all revenue is captured appropriately at the account level and in the billing system.

Reviews billing edits to ensure accurate and complete billing following regulatory requirements, to resolve and prevent future edits.

Attends and participates in educational programs or activities to maintain current level of knowledge or expertise.

Insure proper billing protocols and guidelines are followed.

We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com .

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Skills and Requirements

Graduate of an accredited College or University with a B.S. preferred

Minimum of (6) to (10) years in Patient Accounting required, preferable in a hospital setting.

Knowledge of hospital billing and reimbursement of insurance as well as third-party billing.

Ability to use basic office equipment and knowledge of CTR computer , Word and Excel a plus. null

We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal employment opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment without regard to race, color, ethnicity, religion,sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military oruniformed service member status, or any other status or characteristic protected by applicable laws, regulations, andordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or the recruiting process, please send a request to HR@insightglobal.com.