Physician Billing Representative

5 days ago

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Prisma Health

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10,000+

Description

• Posts payments and adjustments to invoices. • Receives and follows up on incoming correspondence and telephone inquiries regarding information for payment. • Clears edits, contacts payers and submits claims via electronic or paper claim submission according to governmental regulations, agency policies, Prisma Health guidelines and timeliness standards. • Reviews patient accounts transaction history to ensure full understanding of next steps. Documents work activity on the patient accounts according to departmental guidelines. • Works and monitors electronic work queues daily resolving any outstanding accounts according to departmental guidelines. • Adheres to policies and procedures as required by Prisma Health and follows all compliant regulatory payer guidance. Ensures all work is compliant with privacy, HIPAA, and regulatory requirements. • Attends required training as appropriate, participates in general or special assignments and performs other duties as assigned. • Knowledgeable of the job functions required for a Cash Posting Representative, Claims Clearinghouse Representative and a Correspondence Representative. Should be cross-trained and proficient operate in any of these roles if the need arises. • Performs other duties as assigned.

Requirements

• High School diploma or equivalent OR post-high school diploma/highest degree earned • 2 years - Billing, bookkeeping, accounting