We are Emerus, the leader in small-format hospitals. We partner with respected and like-minded health systems who share our mission: To provide the care patients need, in the neighborhoods they live, by teams they trust. Our growing number of amazing partners includes Allegheny Health Network, Ascension, Baptist Health System, Baylor Scott & White Health, ChristianaCare, Dignity Health St. Rose Dominican, The Hospitals of Providence, INTEGRIS Health, MultiCare and WellSpan. Our innovative hospitals are fully accredited and provide highly individualized care. Emerus' commitment to patient care extends far beyond the confines of societal norms. We believe that every individual who walks through our doors deserves compassionate, comprehensive care, regardless of their background, identity, or circumstances. We are committed to fostering a work environment focused on teamwork that celebrates diversity, promotes equity and ensures equal access to information, development and opportunity for all of our Healthcare Pros.
Position OverviewThe purpose of this position is to complete the timely and accurate submission of claims (i.e. insurance companies, Medicare and Medicaid, employers, individuals, etc.) for health services provided by the company to ensure prompt payment.
Essential Job Functions Complete daily billing process and ensure successful completionReview and correct all claims returned by the clearinghouse, payer, or from internal editsFollow-up and investigate any billing errors returned from payers. Work with respective team members/supervisors for resolutionSuggest billing component changes as necessary for payersWork various reports (discharge not final billed, billing exceptions, etc) to ensure accurate classification of accounts and to ensure that all accounts have been final billedComplete billing requests from team members for submission of claims not received by the payer and corrected claims as identifiedReview and update demographic/guarantor/insurance data obtained in the registration process as necessaryTrack claims made by the company to ensure successful transmission and receipt Other Job Functions Attend staff meetings or other company sponsored or mandated meetings as requiredPerform additional duties as assignedWillingness and ability to work overtime Basic Qualifications High School Diploma or GED, required3+ years medical billing experience, requiredExpert knowledge of the UB-04/CMS-1450 claim form, requiredKnowledge of state and Federal payment laws, requiredExperience using a 10-key adding machine, requiredProficiency with Microsoft Office (Microsoft Word, Excel and Outlook), requiredPosition requires fluency in English; written and oral communication
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