Job Summary: Perform duties to ensure accurate and timely billing/follow up of all Insurance claims in order to secure payment in a prompt manner that is in compliance with all payer rules and regulations. The representative will utilize available tools, including but not limited to, payer on-line websites, internal practice management tools, and Governmental transmittal. Analyze claim rejections and correct/resolve as needed for claims processing. Perform other related functions as needed and assigned.
Qualifications: High school diploma (or equivalent) required. Three years experience in healthcare billing and coding with knowledge of insurance carrier guidelines and CMS regulations preferred. Must be self driven and able to communicate effectively and professionally in a high volume environment. Excellent organizational and analytical skill with attention to detail required. A positive and proactive attitude toward achieving overall department goals required. PC experience including word processing & spreadsheet applications preferred
EOE AA M/F/Vet/Disability
CaroMont Health is a nationally recognized leader and trusted partner in creating a healthy community. We’ve earned that trust by combining innovative medical breakthroughs with a level of care so extraordinary it has come to define us.
Our independent healthcare system includes specialists, primary care offices, urgent care locations, emergency departments and an acute-care hospital conveniently located throughout the region. From our top doctors to our advanced technology, CaroMont Health has been recognized with numerous awards, including being named one of Thomson Reuters’ Top 100 Hospitals.