Position Purpose:
The Billing Coordinator coordinates and processes all home medical equipment referrals and walk ins verifying insurance coverage complete doctor orders and documentation to ensure clean processing of claims. They perform their duties in a manner consistent with medical center philosophy and policy in areas relating to accounts receivable public relations and third-party relations.
What you will do:
Enters PHI data into the billing software system including client demographics reimbursement and billing information.
Edits and corrects the CMS 1500 claim form using proper data elements for each payer ensuring correct billing units dates of service codes and modifiers are used. Ensures claims are in compliance with payer regulations.
Performs all functions with the objective of maximizing reimbursement to MercyOne North Iowa Home Medical Equipment and ensuring the claim is paid/settled in a timely manner. Utilizes available data and resources to make decisions for completion of claims processing and keeps unbilled claims to a minimum level. Provides Manager with statistical feedback of accounts.
Communicates with other departments physicians and their office staff and nursing personnel as required to clarify billing discrepancies and obtain medical diagnostic information.
Demonstrates flexibility and adapts to changes in workload assignments. Acts as a backup when co-workers are absent and assists in reducing others backlog. Maintains a positive working relationship with co-workers medical staff and personnel from other departments. Instructs co-workers in sales order processing procedures and assists in the orientation and training of new employees.
Assists customers politely promptly and accurately. Demonstrates good listening skills. Asks clarifying questions to meet customers needs.
Hours/Schedule:
Full Time/Days
Minimum Qualifications:
Education:
Associate degree or business college courses that equate preferred.
Experience:
Completion of medical terminology course or an equivalent combination of education and experience preferred.
Demonstrated competence in a medical insurance setting for six months to one year preferred
Special Skills and Competencies:
Ability to deal tactfully and diplomatically with other employees and with the public regardless of economic status race religion age sexual orientation disability or ability to pay.
Must possess sufficient logic skills to make necessary judgment expediting work flow.
Must be detail orientated and able to prioritize.
Ability to understand interpret and explain insurance benefits.
Knowledge of medical equipment and its uses
Must have demonstrated competence in the use of personal computer using Windows Excel Spreadsheets and Word.
Ability to type 55 WPM preferred.
Position Highlights and Benefits
Education Assistance offered
Effective Day 1 Benefit Package(Medical Dental Vision and more)for positions 16 hours per week or greater
Competitive wages; including weekend and night differentials
Generous paid time off program
Retirement Savings program with employer match starting on Day 1
Ministry/Facility Information:
MercyOne North Iowa Medical Center provides expert health care to 15 counties.
MercyOne North Iowa Medical Center is a 342 bed regional referral teaching hospital in Mason City Iowa. MercyOne New Hampton Medical Center is an 11 bed rural access hospital in New Hampton Iowa. Our service area spans 15 counties across northern Iowa and southern Minnesota. We serve a population over 260000.
With more than 3000 colleagues and a medical staff of almost 500 physicians and allied health professionals MercyOne North Iowa Medical Center is the largest employer in the region.
MercyOne Medical Group North Iowa is part of Iowas largest multispecialty clinic north Iowa our clinics are made up of more than 25 primary care pediatric internal medicine and specialty clinics.
Our Commitment
Rooted in our Mission and Core Values we honor the dignity of every person and recognize the unique perspectives experiences and talents each colleague brings. By finding common ground and embracing our differences we grow stronger together and deliver more compassionate person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race color religion sex sexual orientation gender identity national origin disability veteran status or any other status protected by federal state or local law.
Required Experience:
IC
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