Job Description

Prepares standardized, uniform, or customized claim forms to all Medicaid/Medicare and CMO carriers in a timely and accurate manner.

Maintains current status in billing daily downloads as well as completing referrals, late charges and returned claims from coding and audit accurately and within the required timeframe.

Maintains monthly collection goal minimum standards of 95%.

Prepares daily, weekly, and monthly production reports by the required deadline.

Takes the initiative to solve problems and inquiries on individual accounts; referring serious problems to lead or Supervisor.

Reviews and prepares UB-92 and HCFA-1500 claim forms for submission to Medicare, Medicaid, and Champus in a timely and accurate manner.

Maintains current status with daily billing download as well as all secondary claims, cross-over forms and referrals from other departments.

Reviews, corrects and follows up on all Medicare claims via the Florida Shared System maintaining an acceptable status.

Maintains a current working knowledge of all changes in billing guidelines and regulations for Medicare, Medicaid and Champus.

Works with other departments to resolve billing issues and ensure compliance with all Government regulations.

Practices proper safety techniques in accordance with hospital and departmental policies and procedures. Immediately reports any mechanical or electrical equipment malfunctions, unsafe conditions, or employee/patient/visitor injuryaccident to Manager.

We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com .

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Skills and Requirements

One year experience in billing, OR Associate's Degree in Business.

Good verbal communication skills and basic typing ability.

Two years experience in insurance billing, or related area.

Prior hospital or healthcare experience.

Demonstrated knowledge of electronic billing systems. null

We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal employment opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment without regard to race, color, ethnicity, religion,sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military oruniformed service member status, or any other status or characteristic protected by applicable laws, regulations, andordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or the recruiting process, please send a request to HR@insightglobal.com.