Employment Type:

Full time

Shift:

Day Shift

Description:

Position Purpose:

The Billing Coordinator coordinates and processes all home medical equipment referrals and walk in’s verifying insurance coverage, complete doctor orders and documentation to ensure clean processing of claims. They perform their duties in a manner consistent with medical center philosophy and policy in areas relating to accounts receivable, public relations, and third-party relations.  

What you will do:

• Enters PHI data into the billing software system, including client demographics, reimbursement and billing information.   

• Edits and corrects the CMS 1500 claim form using proper data elements for each payer, ensuring correct billing units, dates of service, codes and modifiers are used. Ensures claims are in compliance with payer regulations. 

• Performs all functions with the objective of maximizing reimbursement to MercyOne North Iowa Home Medical Equipment and ensuring the claim is paid/settled in a timely manner.  Utilizes available data and resources to make decisions for completion of claims processing and keeps unbilled claims to a minimum level.  Provides Manager with statistical feedback of accounts. 

• Communicates with other departments, physicians and their office staff, and nursing personnel as required to clarify billing discrepancies and obtain medical diagnostic information. 

• Demonstrates flexibility and adapts to changes in workload assignments.  Acts as a backup when co-workers are absent, and assists in reducing others' backlog.  Maintains a positive working relationship with co-workers, medical staff, and personnel from other departments.  Instructs co-workers in sales order processing procedures and assists in the orientation and training of new employees. 

• Assists customers politely, promptly, and accurately. Demonstrates good listening skills.  Asks clarifying questions to meet customer's needs.   

Hours/Schedule:

• Full Time/Days

Minimum Qualifications:

Education:  

Associate degree or business college courses that equate preferred. 

Experience:   

Completion of medical terminology course or an equivalent combination of education and experience preferred. 

Demonstrated competence in a medical insurance setting for six months to one year preferred 

Special Skills and Competencies:  

• Ability to deal tactfully and diplomatically with other employees and with the public regardless of economic status, race, religion, age, sexual orientation, disability or ability to pay. 

• Must possess sufficient logic skills to make necessary judgment expediting work flow. 

• Must be detail orientated and able to prioritize. 

• Ability to understand, interpret and explain insurance benefits. 

• Knowledge of medical equipment and its uses