Perot Systems Corporation is a worldwide provider of information technology services and business solutions to a broad range of clients. We are currently looking for a
Third Party Insurance Billing Specialist to join our team in
Bowling Green, KY.
Job Summary:Performs tasks required to ensure the timely and accurate submission of insurance claims to all third party payers and documents billing activity in the patient accounting system.
Responsibilities:
:
Works daily electronic billing file and submits insurance claims to third party payers
Reviews daily edit reports from the hospital billing system and makes necessary corrections to allow electronic submission
Reviews error reports from electronic payers; identifies errors and makes appropriate corrections to ensure accurate claim submission
Monitors claim rejections for trends and issues and reports findings to supervisor
Prepares and submits manual insurance claims to third party payers who do not accept electronic claims or who require special handling
Reviews all claims for accuracy
Coordinates medical record requests as needed
Documents billing activity on the patient account
Ensures hospital compliance with all state and federal billing regulations and reports any suspected compliance issues to the Medical Billing Supervisor
Works with supervision, management and the patient accounting staff to improve processes, increase accuracy, create efficiencies and achieve the overall goals of the department
As requested, participates in general or special assignments
Attends required training and completes on-line training as assigned
Required Skills:
1+ years of healthcare receivables experience
Demonstrated knowledge of third party billing procedures
Knowledge of claims review and analysis
Knowledge of Medicare, Medicaid and HMO contracts
Demonstrated skill and typing ability sufficient to function easily in a variety of hospital patient accounting and billing systems (SMARTS, FISS, Epic, ePremis)
Good oral and written communication skills Good organization and time management skills Computer literate Ability to read, write and follow directions Ability to establish priorities effectively Self-directed and capable of working without direct supervision
Ability to work well with others
Dependable in both production and attendance
Minimum Educational Requirements:
High school diploma or equivalent
Perot Systems is committed to Equal Employment Opportunity. It is the policy of Perot Systems Corporation to encourage and support equal employment opportunity for all Associates and applicants for employment without regard to sex, race, color, ancestry, religious creed, national origin, pregnancy, physical disability, mental disability, medical condition, age, marital status, political affiliation, sexual orientation, disabled veteran or Vietnam era veteran status.
