What are the responsibilities and job description for the Inpatient Biller/Collection Specialist position at The Carpenter Health Network?
The Carpenter Health Network Restoratives Post Acute Care Division is seeking a Full-Time Hospital Inpatient Biller/Collection Specialist!
We offer you: Excellent Pay, Complete Benefits Package including: Health, Dental, Vision & Life Insurance, Paid Time Off (PTO), 401-K, and Remarkable Career Advancement Opportunities.
Essential duties and responsibilities include:
- Prepare, review, and submit claims accurately and timely.
- Monitor claim status through payer portals, clearinghouses, and internal RCM systems.
- Investigate, resolve claim rejections, denials, underpayments and payment variances.
- Submit corrected claims, appeals, reconsiderations, as necessary.
- Post payments/collections to accounts.
- Analyze remittance advices and explanation of benefits to identify reimbursement discrepancies.
- Perform account receivable follow-up activities to secure payment on outstanding accounts, including patient statements.
- Review accounts for appropriate adjustments, write-offs, and contractual allowances.
- Document all account activity thoroughly within the billing/RCM system.
- Maintain compliance with Medicare, Medicaid, and commercial payer billing regulations.
Requirements:
- Minimum 2-year hospital billing and collection experience, required.
- Strong understanding of Institutional reimbursement methodologies.
- Demonstrated knowledge of Medicare, Medicaid, and other payor guidelines and criteria for reimbursement.
- Experienced in UB-04 requirements.
- Ability to interpret remittance advises, contracts, and payer correspondence.
- Proficiency with clearinghouses and payor portals.
- Strong organizational skills with the ability to manage high account AR volumes.
- Excellent communication and customer service skills when responding to questions and other inquiries from internal and external customers.
- Strong computer and software skills.
Exceptional Care. Exceptional People.
Only candidates with appropriate experience will be considered. All others need not apply.
All inquiries will be kept confidential
EOE