Hospital Claims Billing Specialist

90010 ClearSky Health Acquisition, LLC
Albuquerque, NM Full Time
POSTED ON 5/18/2024
Our hospital provides high-quality care that transforms the lives of those living with disabling injuries and illnesses. We distinguish ourselves through our commitment to excellence, to our patients, to our employees, and to the communities we serve. We are looking for a Hospital Claims Billing Specialist to join our growing team! This position will be responsible for submitting and auditing patient claims, and communicate with patients, medical professionals and insurance companies to help process payments and troubleshoot discrepancies. This position is remote Essential Functions: Utilize patient accounting software to prepare, review and transmit inpatient Medicare, commercial and Medicaid claims. Follow up on unpaid claims within standard billing cycles. Check insurance payments for accuracy and contract compliance. Call insurance companies regarding payment discrepancies. Identify and bill secondary or tertiary insurances. Research and appeal denied claims. Respond to patient or insurance inquiries. Follow-up on self-pay balances. Setting up patient payment plans. Maintain awareness of changes in payer billing requirements Education and Experience: 2 years inpatient billing / collections experience required. 2 years in Medicare billing experience preferred. Familiarity with Optum Revenue Cycle software preferred. Knowledge of insurance billing requirements is required. In-Patient Rehabilitation Hospital experience preferred. Physical Requirements over the course of a shift: A significant amount of sitting for prolonged periods of time Lifting/exerting of up to 10 lbs Sufficient manual dexterity to operate equipment and computer keyboard Close vision and the ability to adjust focus ClearSky is proud to be an equal opportunity employer. Apply today and learn about our competitive pay and benefits! Authentic. Inspiring. Transformative. ClearSky Health and our affiliated Hospitals provide high-quality care that transforms the lives of those living with disabling injuries and illnesses. We distinguish ourselves through our commitment to excellence, to our patients, to our employees, and to the communities we serve. We value our employees’ skills, talents, and input. We believe in maintaining hospital environments where employees are: Valued Treated with dignity Respected Provided educational and training opportunities Recognized Rewarded ClearSky Health has plans to open medical rehabilitation hospitals at the following locations listed below. If you are interested in learning more, please email us and send your resume to jobs@clearskyhealth.com. Baytown, TX clearskyhealth.com/baytown Lancaster, OH clearskyhealth.com/lancaster Lecanto, FL clearskyhealth.com/lecanto

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