Medicare Biller Compliance Specialist

Hunterdon Healthcare Flemington , NJ 08822

Posted 2 weeks ago

Position#Summary: Works hospital claims for Governmental Payers to ensure correct reimbursement assuring medical necessity and compliance is met.


Primary Position

Responsibilities:


Perform all activities for billing, claim adjustment, account follow-up processes. Utilize tools and software provided.

Complete payment review, working Compass Exception Reports and Remits. Other duties as needed. Process denials timely. Exhibit strong professional customer service in daily interactions.



Qualifications:


Minimum Education

  • Required: High School Diploma or Equivalent Preferred: Associates Degree in Business Administration Minimum Years of Experience

  • Required: None Preferred:

    Two years experience in a hospital or physician billing environment, two years experience working on a Windows based software package and prior experience working in a customer service environment. Experience with Medicare Rules, DRG/APC payment methodology. License, Registry or Certification

  • Required: None Preferred:

    Certificate and/or advanced specialized or technical training: Certified Revenue Cycle Professional (CRCP) Knowledge, Skills and/or Abilities

  • Required: Computer Skills and Customer Service Skills. Preferred: Detail oriented, bookkeeping skills, Team player

Position Summary:

Works hospital claims for Governmental Payers to ensure correct reimbursement assuring medical necessity and compliance is met.

Primary Position Responsibilities:

Perform all activities for billing, claim adjustment, account follow-up processes.

Utilize tools and software provided.

Complete payment review, working Compass Exception Reports and Remits.

Other duties as needed.

Process denials timely.

Exhibit strong professional customer service in daily interactions.

Qualifications:

Minimum Education -

Required: High School Diploma or Equivalent

Preferred: Associates Degree in Business Administration

Minimum Years of Experience -

Required: None

Preferred:

Two years experience in a hospital or physician billing environment, two years experience working on a Windows based software package and prior experience working in a customer service environment. Experience with Medicare Rules, DRG/APC payment methodology.

License, Registry or Certification -

Required: None

Preferred:

Certificate and/or advanced specialized or technical training: Certified Revenue Cycle Professional (CRCP)

Knowledge, Skills and/or Abilities -

Required: Computer Skills and Customer Service Skills.

Preferred: Detail oriented, bookkeeping skills, Team player



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Medicare Biller Compliance Specialist

Hunterdon Healthcare