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Standard job listing
Title of job: Medicare Hospital Biller
Job Location: Scottsdale, Arizona, 85250
Job Type: Contract to Hire
Price Range:
Negotiable, Depending on experience
Start Date:
ASAP
End Date:
Not a pressing concern
Categories:
# Section Category Subcategory
#1 Business Administrative / Clerical Customer Service
Qualifications:
1+ year experience with Medicare Billing.

Other desired skills:
Medicare Hospital Biller
Job/Project Details: Award Winning Scottsdale Healthcare Facility is seeking multiple sharp and professional Medicare Hospital Billers with 1+ year of related healthcare business office experience and/or 1+ year Medicare Billing experience.95% of this position is working on Part A (about 1000 applications a week) & only 5% on Part B. 70% of the job is working in DDE and doing data entry of Part A. The primary duties of this position include: Servicing accounts in priority of importance, independently billing accounts with understanding of applicable Medicare regulations. Ensures all billing exception reports, (i.e., DDE) are reviewed and corrected on a daily basis to ensure all bills are timely. Under the direction of the Medicare Supervisor, bills and files all claims on both UBs and 1500 forms. Bills both DDE/electronically and manually, as needed, and utilizes APC Grouper system. Utilizes encoder, UB Editor, PC Pricer and other tools as necessary to complete assigned tasks.Works rejections, return to provider claims, denials, recoups, performs adjustments and cancellations as needed of DDE and ensures requested corrections are updated and reflected on the patient account system.Specializes in the complete billing process from bill drop to reimbursement by performing all tasks needed to meet department operation requirements.Performs Medicare billing, research, and correspondence, within timeframe expectations set by PFS Management. Ability to reconcile accounts is mandatory. Must have thorough knowledge of MSP (ESRD, third party liability, Consolidated Billing, 1011, Hospice and others) and COBBills a minimum of accounts on a daily basis as defined by productivity measures. Works, manages, and collects receivables.Works well with all hospital departments for proper coding and billing procedures. Must maintain knowledge of current coding practices.Applies at least an intermediate level of knowledge of CMS/Medicare regulations to all assigned tasks. It is mandatory that all Medicare specialist maintain current knowledge of Medicare rules/regulations and changes, this is accomplished by Medicare bulletins and updates, journals, ongoing training and classes.Maintains essential reports.Identifies and communicates reoccurring billing errors to Medicare Supervisor and recommends solutions or resolutions. Adjusts claims in third party databases.Utilizes top customer service skills with all customers: patients, government agencies, commercial insurances, other hospital departments, physicians&#146; offices, attorneys&#146; offices. <br/><br/>All applicants applying for U.S. job openings must be authorized to work in the United States. All applicants applying for Canadian job openings must be authorized to work in Canada.df-jb

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