Job Description:

POSITION SUMMARY: Performs the submission and follow-up of insurance claims for all service lines. Ensures billing procedures are followed to maximize cash and minimize accounts receivable.

RESPONSIBILITIES: Completes all edits to ensure claim submissions are compliant with federal and state regulations. Performs follow-up on insurance claims to obtain maximum payment promptly. Administers timely and accurate billing and payment of all service lines. Processes all secondary claims to seek reimbursement following primary insurance payment. Researches and resolves requests from insurance companies, patients, and third-party payors. Resolves billing problems and assists interdepartmentally with billing issues. Assists co-workers with problem resolution and team projects to decrease accounts receivable. Works with Home Health and Hospice private pay accounts. Assists patients with insurance-related questions and problems. Completes monthly billing of reoccurring accounts ((i.e. home health, hospice, and room and board). Other duties may be assigned.

Education and/or Experience: High school diploma or general education degree (GED); or equivalent combination of education and experience. One year prior medical or general office experience is preferred. Previous billing and computer experience are desirable.

Minimum Qualifications:

Prairie Lakes is an EEO/AA/Minority/Female/Disability/Veteran employer.