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HonorHealth
HonorHealth
Asistență medicalăEducație
HonorHealth este o organizație integrată de asistență medicală care oferă îngrijire spitalicească și ambulatorie, asistență medicală primară, îngrijire urgentă și servicii de telemedicină, inclusiv consultații electronice. Instrumentele sale digitale destinate pacienților includ MyChart, programarea online a consultațiilor, resurse pentru facturare și informații privind transparența prețurilor. Pe lângă serviciile clinice, HonorHealth sprijină cercetarea medicală, programele de rezidențiat și de burse, educația medicală continuă, resursele pentru studenții la medicină și programele comunitare prin fundația sa și inițiativele de voluntariat. Organizația reunește furnizarea de servicii medicale, educația, cercetarea și implicarea comunitară în cadrul unui sistem extins de sănătate.
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Locurile de muncă ale companiei

Senior Hospital Biller – Medicare and Commercial Claims

Process Medicare and commercial hospital claims for HonorHealth, an Arizona nonprofit healthcare system. Maintain billing accuracy and revenue cycle benchmarks while submitting electronic and paper claims.

USStatele Unite ale AmericiiAZArizonaHibridNormă întreagăSeniorLimbă Obligatorie: englezăFacturistGeneral

Descriere

  • Prepare and file claims using UB and CMS-1500 forms.
  • Use DDE to verify beneficiary names for Medicare claims.
  • Spot recurring billing errors and report them to the Billing Supervisor.
  • Recommend ways to resolve billing errors.
  • Adjust claims as needed.
  • Handle commercial and Medicare billing research within management timelines and benchmarks.
  • Assist patients, government agencies, commercial insurers, hospital departments, physician offices, and outside vendors.
  • Submit electronic and paper claims, monthly patient statements, and corrected claims each day.
  • Give physician practice staff feedback on data and demographic corrections.
  • Work with practice managers and PBS staff to meet submission, accounts receivable collection, closed-claim, clean-claim, and bad-debt benchmarks.
  • Record daily statistics in spreadsheets.
  • Process Gateway EDI requests and receipts, reconciling them with patient accounting system submissions.
  • Follow regulatory requirements for timely claim submission and reprocessing.
  • Send and receive 837 files from outside vendors.
  • Maintain payer files and inform physician groups about relevant updates.
  • Help develop, implement, and improve internal controls for reliable billing practices.
  • Report to the Billing Supervisor.

Cerințe

  • Must live in the greater Phoenix metropolitan area.
  • Substantial hospital billing experience in a medium or large healthcare system.
  • EPIC experience is preferred.
  • High school diploma or GED.
  • Two years of Medicare or commercial physician billing and reimbursement, revenue cycle, or claims processing experience.
  • Two years of patient accounts experience, or three years of physician billing experience.
  • Advanced medical billing certification preferred within two years of hire.
  • CCS coursework.
  • Experience with Medicare and commercial billing.
  • Experience submitting claims on UB and CMS-1500 forms.
  • Knowledge of DDE, Gateway EDI, 837 files, and patient accounting systems.
  • Ability to meet billing, claims processing, and revenue cycle benchmarks.

Beneficii

  • Remote work arrangement with office attendance when needed.
  • Weekday schedule available between 6:00 a.m. and 5:00 p.m., Monday through Friday.
  • Career development opportunities.
  • Advanced medical billing certification completion within two years of hire is preferred.

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