Our Central Billing Office is looking for a new team member!
The overpayment resolution specialist analyzes patient accounts that reflect a credit balance and accurately resolves the credit balance by either remedying overadjustments due to remittance posting errors; or determining which health plan or third party or patient overpaid; or both.
Candidates must have government and commercial billing/follow up experience and possess an abundance of critical thinking skills.
Key attributes we need in this role:
Positive attitude - always willing to lend a hand when needed
Flexible team player who is committed and accountable
An abundance of critical thinking skills!
Why choose Stillwater Medical?
Excellent benefits
Career ladder for growth and development
Modern Healthcare's Best Places to Work - since 2010
Details:
Weekdays 8:00am-5:00pm
Full-time, 40 hours per week
Applicants could be hired as a Representative.
Will consider hiring with Specialist title for applicants with 2+ years of direct experience in medical/hospital billing.
Job SUMMARY:
Responsible for accurate and timely posting, billing or account resolution as assigned to contribute to the success of the CBO team objectives.
Analyzes and takes appropriate action steps according to SMC protocols.
Responds appropriately to patient and other customer inquiries.
Achieves required payer knowledge and coordinates appropriately with hospital departments, clinics or patients to resolve coverage issues.
Strives to achieve targeted benchmarks and exceed collection goals for prompt account resolution.
Communicates timely and appropriately with CBO leadership team to identify and resolve payer/claim submission issues.
Performs assigned duties independently with guidance from manager or team leader.
QUALIFICATIONS:
High School Graduate or equivalent and some college preferred
Experience working in medical office and/or hospital billing environment required (prefer more than 2 years)
Ability to perform basic mathematical tasks
Knowledge of insurance claims processing and managed care plan benefits
Understands the purpose of CPT, HCPCS, ICD-10 and Revenue Codes
Knowledge of UB-04 and/or CMS 1500 claims and electronic claims submission
Demonstrates effective analytical, oral and written communication skill
Knowledge of basic medical terminology
Understand the ethics of confidentiality and healthcare compliance
Average computer and data entry skills as required in the healthcare industry
Ability to use Microsoft Office applications effectively (i.
e.
Excel, MSWord, Outlook)
Strong organizational skills and the ability to manage multiple assignments daily
PHYSICAL REQUIREMENTS:
Able to sit and maintain work focus for extended periods of time
Able to stand and walk for extended periods of time to meet necessary meeting, training and work schedules
Able to speak clearly and distinctly with staff, physicians, patients, and families.
Able to hear to converse with others on the phone
Demonstrates the ability to make decisions and accomplish tasks in a high work volume environment to meet the necessary goals and deadlines
Demonstrates adequate vision to read and prepare documents accurately
Possess motor skills and coordination to effectively use computers and office equipment
Location: Stillwater Medical · Central Billing Office-Hospital
Schedule: Full Time, Days, Monday-Friday
Whatsapp
