Hospital Biller

Medix is looking for a Hospital Biller for a Hospital Revenue Cycle firm in the Blue Springs, MO (64015) area!

Primary responsibilities of this full-time, hybrid front-line billing position include:

1. Use billing software to perform data entry and prepare hospital/physician bills for submission to third-party payers
2. Timely submission of primary/secondary hospital, physician, and clinic claims
3. Work A/R reports as needed to follow up on un/under- paid claims on Medicare, Medicaid, Commercial, Auto Liability, and Work Comp claims according to contractual requirements and provider policy
4. Identify/correct claim errors and system edits preventing successful electronic filing
5. Ensure timely submission of unprocessed, rejected or returned claims.
6. Submit paper claims as may be required, i.e., work comp
7. Practice proactive denials management through effective communication between the Payers, MRS, and clients.
8. Prepare and submit 1st and 2nd level appeals as necessary
9. Practice strict adherence to HIPAA and all required Compliance components
10. Other duties as assigned

Must Have skills:

• 3-5 years billing experience at a hospital group (Medicare, Medicaid and/or Commercial claims) - NO PHYSICIAN
• Understand the claims billing process and medical code sets
• Understanding of the A/R follow-up process
• Knowledge of standard industry health plan structures.
• Proficiency in MS Office.
• Epic experience is most important
• Cerner experience is also super important but one person doesn't have to have both
• Needs to have a good personality because they will be doing a bit of client facing work.

Schedule/ Shift:

• M-F days (8hr shifts) ; Hybrid role - will start more in person in the beginning of the role then transition into more work from home

Benefits:

• Paid Sick Leave (Medix provides paid sick leave according to state and local sick leave ordinances)
• Health Benefits / Dental / Vision (Medix Offers 6 different health plans: 3 Major Medical Plans, 2 Fixed Indemnity Plans (Standard and Preferred), and 1 Minimum Essential Coverage (MEC) Plan. Eligibility for health benefits is based on verifying that an average of 30 hours per week during the first 4 weeks of the work assignment has been met. If you meet eligibility requirements and take action to enroll, you will be covered no earlier than 60 days into your assignment, depending on plan selection(s).)
• 401k (eligible on the first 401k open enrollment date following 6 consecutive months on assignment. 401k Open Enrollment dates are 1/1, 4/1, 7/1, and 10/1)
• Short Term Disability Insurance
• Term Life Insurance Plan

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