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Responsible for ensuring claims are resolved with third party payers in a reasonable time frame as defined by Revenue Cycle metrics. This includes working claims that fail payer rejection edits in order to resolve errors and submit corrected claims. Assesses errors and quickly and effectively locates information to correct them and follow-up on claims for resolution. Works with other areas in the Revenue Cycle to obtain information necessary to correct errors or supply additional information as necessary for claim adjudication. Remains up-to-date on regulatory requirements through informal and formal updates, including self-study of payer bulletins and guidelines. Performs other duties as assigned.
High school diploma or equivalent. Microsoft Excel required and healthcare billing experience preferred. Undertakes self-development activities.Basic understanding of working in multiple software applications at the same time.
The Special Physical Demands are considered Essential Job Functions of the position with or without reasonable accommodations.While performing the duties of this job, the employee is regularly required to talk or hear. The employee is most often required to sit; use hands to finger, handle, or feel and reach with hands and arms. The employee is occasionally required to stand; walk and stoop, kneel, crouch, or crawl. The employee must occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, depth perception and ability to adjust focus.
Full Time
Hospital
$48k-58k (estimate)
04/14/2023
02/20/2025
mercyhealthsystem.org
Janesville, Wisconsin
7,500 - 15,000
Eric Bristol
Hospital
Mercyhealth, founded in 1883 and headquartered in Janesville, Wisconsin, is a non-profit health care provider and hospital system that operates over four core service areas: hospital-based service, clinic service, post-acute care, and retail.