In this position, the Billing Service Representative (BSR) II is responsible for all billing and claims processing services for physician offices of the Rocky Mountain Health Network.
Essential Duties and Responsibilities
Billing and Claims Processing
- Posts charges to patient accounts, prepares, verifies, and sends electronic and paper claims to third party payers, researches incomplete, incorrect, or outstanding claims and submits claims with knowledge of all insurance plans and contractual arrangements affecting payments
- Investigates and resolves claims submission problems with third party payers and reviews new and existing third party claims processing information
- Posts payments and adjustments to patient accounts, verifies and balances cash and receipts and prepares regular deposits and processes refunds to payers or patients
Insurance Follow Up
- Identifies accounts with unpaid third party balances over set number of days and performs regular calls to payers according to protocols.
- Handles all incoming correspondence from third party payers.
- Documents all communication with third party payers in practice management system.
- High School Diploma or equivalent and a minimum of three years of business office experience in a healthcare setting including billing and claims processing, insurance and CPT and ICD-10 coding; billing experience with Federally Qualified Health Center preferred but not required
- Certificate of Applied Science from a 1 year Medical Coding and Insurance Billing Program
- Ability to communicate effectively and diplomatically within a multi-functional team
- Strong organizational skills and attention to detail
- Ability to successfully function in a fast paced, service oriented environment
- Experience in understanding and usage of computers, including the Microsoft Office Suite and preferably knowledge of IDX or other billing/collections software, as well as the ability to learn applications relevant to the position
Organization: St. Vincent Healthcare, Billings, MT
Primary Location: MT-Billings/Surrounding Areas-Billings
Shift: Day Shift
Job Number: 18000202