Catholic Health Initiatives Reimbursement Specialist-Physician Billing Office-Mercy Medical Center-FT (Days) in DES MOINES, Iowa
Reimbursement Specialist-Physician Billing Office-Mercy Medical Center-FT (Days)
GENERAL SUMMARY :
to corporate policies and procedures as dictated by the specific job. Ability to interpret different explanation of
benefits and correspondence from multiple payers. Adhere to all productivity expectations and
quality assurance standards. Provide
excellent customer service consistent with Mercy’s philosophy and
ESSENTIAL FUNCTIONS :
Adheres to allcash handling and credit card processes and protocols
Maintains,batches and logs bank batches, electronic funds transfers, online bankingwebsite, and the online credit card website on a daily basis
Matcheselectronic remittance advices, logs information, and remits necessaryinformation to Systems Team according to the Posting Protocol and within theestablished IT submission timeframe
Reconcile thecash reconciliation spreadsheet on a daily basis and provide month end supportas required
Maintain apositive working relationship with the lockbox contact in order to identify andresolve any issues
Scanner/Paper Claims Processing
Responsible for scanning documents into scanning database by assigningbatch number and batch labels based on defined naming convention to ensure thedocuments are easily accessible through defined search techniques
Assists others in locating scanned documents involving complex searches
Responsible for preparing paper claims to be filed to the insurancepayers by editing the claims as required by the payers and attaching EOB copiesas necessary.
Files all scanned documentation and prepares documents for off-sitestorage
Work includes cross coverage in other areas of department as needed.
Participates in performance improvement projects and activities as needed.
Work includes all other miscellaneous office duties/projects asassigned.
Work hours may vary throughout the month/year as
required based on scope of the position.
MINIMUM KNOWLEDGE, SKILLSAND ABILITIES REQUIRED :
High schooldiploma or GED required.
Proficient in useof Microsoft Office, particularly Excel.
One yearexperience in accounts receivable, banking, or office setting preferred.
One year 10 keyexperience preferred.
Demonstrates written, verbal, and nonverbal communication that isconsistent with the Mercy Mission, Values and I Will Statements to allpatients, families, visitors, medical staff, colleagues, vendors and otherinternal and external customers.
Must be a self- started and demonstrate the ability to workindependently by making appropriate decisions according to the organizationaland departmental guidelines that fall within the scope of the position.
Demonstrates the ability to understand and effectively utilize a highlycomplex billing system(s).
Maintains current knowledge of all Federal, State and complianceregulations related to billing and insurance as required based on the scope ofthe position.
Demonstrates an understanding of HCFA 1500 claim forms, CPT, ICD.9 andHCPCS codes specific to insurance carrier requirements as required based onscope of the position.
Job Administrative and Clerical
Primary Location IOWA-DES MOINES-MERCY MEDICAL CENTER
Daily Schedule days
Scheduled Hours per 2-week Pay Period 80
Weekends Required Occasional
Req ID: 2017-R0129181