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Hospital Medical Biller

Hospital Medical Biller

Trinity Employment SpecialistsTulsa, OK, US
30+ days ago
Job type
  • Full-time
Job description

Job Description

Job Description

Hospital Biller with Government Billing and Follow-Up Experience | Tulsa, OK

M -F 8-5

20+ / hour DOE

Job Summary :

We are seeking a detail-oriented and experienced Hospital Biller with a strong background in government billing and follow-up. The ideal candidate will be responsible for accurately preparing, submitting, and following up on claims to government payers to ensure timely and accurate reimbursement for services rendered.

Key Responsibilities :

Government Billing :

  • Prepare and submit claims to Medicare, Medicaid, and other government payers.
  • Ensure claims are in compliance with payer requirements and regulations.
  • Utilize Electronic Data Interchange (EDI) systems for claim submission.

Claim Follow-Up :

  • Monitor and track the status of submitted claims.
  • Perform follow-up activities on unpaid or denied claims.
  • Communicate with government payers to resolve claim issues and discrepancies.
  • Appeal denied claims and ensured appropriate reimbursement.
  • Accounts Receivable Management :

  • Maintain accurate records of all billing and follow-up activities.
  • Reconcile accounts receivable reports and identify discrepancies.
  • Work with the finance team to ensure accurate and timely posting of payments.
  • Compliance and Documentation :

  • Stay updated on changes in government billing regulations and payer policies.
  • Maintain comprehensive documentation of billing and follow-up activities.
  • Ensure all patient information is handled with the utmost confidentiality and in accordance with HIPAA regulations.
  • Collaboration :

  • Collaborate with clinical and administrative staff to ensure accurate billing information.
  • Provide training and support to other billing staff as needed.
  • Assist with audits and provide necessary documentation to auditors.
  • Qualifications :

    Education and Experience :

  • High school diploma or equivalent; Associate degree in healthcare administration, business, or related field preferred.
  • Minimum of 3-5 years of experience in hospital billing with a focus on government payers.
  • Extensive experience in claim follow-up and denial management.
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    High school diploma or equivalent; Associate degree in healthcare administration, business, or related field preferred.

    Minimum of 3-5 years of experience in hospital billing with a focus on government payers. Extensive experience in claim follow-up and denial management.

  • Compile, compute, and record billing, accounting, statistical, and other numerical data for billing purposes. Prepare billing invoices for services rendered or for delivery or shipment of goods.
  • Verify accuracy of billing data and revise any errors.
  • Resolve discrepancies in accounting records.
  • Prepare itemized statements, bills, or invoices and record amounts due for items purchased or services rendered.
  • Operate typing, adding, calculating, or billing machines.
  • Post stop-payment notices to prevent payment of protested checks.
  • Verify signatures and required information on checks.
  • Keep records of invoices and support documents.
  • Perform bookkeeping work, including posting data or keeping other records concerning costs of goods or services or the shipment of goods.
  • Contact customers to obtain or relay account information.
  • Route statements for mailing or over-the-counter delivery to customers.
  • Monitor equipment to ensure proper operation.
  • Fix minor problems, such as equipment jams, and notify repair personnel of major equipment problems.
  • Review documents, such as purchase orders, sales tickets, charge slips, or hospital records, to compute fees or charges due.
  • Track accumulated hours and dollar amounts charged to each client job to calculate client fees for professional services, such as legal or accounting services.
  • Weigh envelopes containing statements to determine correct postage and affix postage, using stamps or metering equipment.
  • Consult sources, such as rate books, manuals, or insurance company representatives, to determine specific charges or information such as rules, regulations, or government tax and tariff information.
  • Compare previously prepared bank statements with canceled checks and reconcile discrepancies.
  • Match statements with batches of canceled checks by account numbers.
  • Take orders for imprinted checks.
  • Encode and cancel checks, using bank machines.
  • Load machines with statements, cancelled checks, or envelopes to prepare statements for distribution to customers or stuff envelopes by hand.
  • Compute credit terms, discounts, shipment charges, or rates for goods or services to complete billing documents.
  • Update manuals when rates, rules, or regulations are amended.
  • Estimate market value of products or services.
  • Review compiled data on operating costs and revenues to set rates.
  • Answer inquiries regarding rates, routing, or procedures.
  • Compile reports of cost factors, such as labor, production, storage, and equipment.
  • Create billing documents, shipping labels, credit memorandums, or credit forms.
  • Perform general administrative tasks, such as answering telephones, scheduling appointments, and ordering supplies or equipment.
  • Return checks to customers or retrieve checks returned to customers in error, adjusting accounts and answering inquiries about errors as necessary.