• Enters PHI data into the billingsoftwaresystem including client demographicsreimbursementand 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 claimsare in compliance withpayerregulations.

• Performs all functions with theobjectiveof maximizing reimbursement to MercyOne North Iowa Home Medical Equipmentand ensuring the claim is paid/settled ina timelymanner.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 feedbackofaccounts.

• 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 areabsent andassistsin reducing othersbacklog.Maintains a positive working relationship with co-workers medical staff and personnel from other departments.Instructs co-workers insales orderprocessing procedures andassistsin the orientation and training of new employees.

• Assistscustomers politely promptly and accurately. Demonstrates good listening skills.Asksclarifying questions to meetcustomersneeds.

• Puts account notes inappropriate softwaresystems accuratelytimelyand objectively.Maintains patient confidentiality.

Hours/Schedule:

• Full time/Days Mon - Fri: 8:30am- 5:00pm

Minimum Qualifications:

Education:

• Associate Degreeor business college courses that equatepreferred.

Experience:

• Completion of medical terminology course oran equivalentcombination of education and experiencepreferred.

• Demonstrated competence in a medical insurance setting for six months to one yearpreferred

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 orientationdisabilityor ability to pay.

• Mustpossesssufficient logic skills to make necessary judgment expeditingwork flow.

• Must bedetailorientated and able to prioritize.

• Ability to understand interpret and explain insurance benefits.

• Knowledge of medical equipment and its uses

• Must havedemonstratedcompetence in the use of personalcomputerusing Windows Excel Spreadsheets and Word.

• Ability to type 55 WPMpreferred.

Position Highlights and Benefits

• Education Assistance offered

• Effective Day 1 Benefit Package(Medical Dental Vision and more)for positions 20 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.