Insurance Biller - Physician Practice - 499007

Description Demonstrates knowledge and skills necessary to provide services based on the physical, psychosocial, educational, safety, and other related criteria appropriate population in his/her assigned area Maintains required core competencies. Complies with set Policies and Procedures (i.e. name tag, dress code, parking, smoking, etc.) Submits all clean claims to the appropriate insurance payer the same day as the claim is received with the exception of weekends. Reviews payer EOB’s but not limited to payment accuracy, patient liability, and appeal grievances if applicable. Files appeals on denied claims and/or forwards to the Lead Patient Account Analyst for review if applicable Maintain better than an 80% clean claim average. Attach but not limited to the medical records, time records, and itemized bill to the claim when applicable Process incoming mail correspondence from the payers within 5 business days Work assigned billing reports within 2 business days Follow up with the insurance companies by phone and or web for the status of outstanding claims if applicable Respond to patient inquiries regarding the status of the patient’s insurance within 2 business days Submit newborn notifications to income support if applicable  Review/resolve the accounts on the Missing Slips Report daily (accounts that are on hold and haven’t been processed). Enter detailed notes explaining account activity in Athena Take payments over the phone. Print UB and 1500 hardcopy claims when required by the payer Bill secondary claims before the timely filing deadline Research late charges to determine the cause; inform your supervisor if they are a regular occurrence. Handle incoming correspondence and inquiries on accounts. Report trends/issues to Supervisor Follow up with all insurance companies within 30 days of billing if there is no payment on the account if applicable Forward patient complaints regarding care to your supervisor for entry into the appropriate resolution pathway Performs other duties as assigned RequirementsEducationRequired:    High SchoolLicenses & CertificationsRequired:    C-Heartsaver Additional Information: - Specialty: Billing and Insurance Specialist - Location: 500 E. 10th StreetAlamogordo, New Mexico 88310 - Contact: About the Company: CHRISTUS Health is an international Catholic, faith-based, not-for-profit health system comprised of more than 600 services and facilities, including more than 60 hospitals and long-term care facilities, 350 clinics and outpatient centers, and dozens of other health ministries and ventures. Sponsored by the Sisters of Charity of the Incarnate Word in Houston and San Antonio and the Sisters of the Holy Family of Nazareth, the mission of CHRISTUS Health is to extend the healing ministry of Jesus Christ. To support our healthcare ministry, CHRISTUS Health employs approximately 45,000 Associates and has more than 15,000 physicians on staff who provide care and support for patients. CHRISTUS Health is listed among the top ten largest Catholic health systems in the United States. EXTENDING THE HEALING MINISTRY OF JESUS CHRIST We are inspired by our mission, vision and core values to deliver compassionate, high quality health care, improving the health of the communities we serve. Above all, we are committed to providing our customers and their family members with a truly unique healing experience, one that embodies our values and respects the dignity and worth of each person. Creating a health care system that is truly excellent in all areas is an ongoing effort.