Billing Representative - NWA Neurosciences (Full-Time, Monday- Friday)

Job DetailsJob Location: NWA Neurosciences Pain Mgmt - Fayetteville, AR 72703Position Type: Full TimeEducation Level: High School Diploma or GEDJob Shift: DaysJob Category: Clinic SystemOrganization Overview, Mission, Vision, and Values

Our mission is to improve the health of people in the communities we serve through compassionate, high-quality care, prevention, and wellness education. Washington Regional Medical System is a community-owned, locally governed, non-profit health care system located in Northwest Arkansas in the heart of Fayetteville, which is consistently ranked among the Best Places to live in the country. Our 425-bed medical center has been named the #1 hospital in Arkansas for five consecutive years by U.S. News & World Report. We employ 3,400+ team members and serve the region with over 40 clinic locations, the region’s only Level II trauma center, and five Centers of Excellence - the Washington Regional J.B. Hunt Transport Services Neuroscience Institute; Washington Regional Walker Heart Institute; Washington Regional Women and Infants Center; Washington Regional Total Joint Center; and Washington Regional Pat Walker Center for Seniors.

 

Position Summary

The role of Billing Representative reports to the Clinic Manager. This position is responsible for providing billing and follow up of claims. This position oversees research and resolution of insurance billing issues at the time of claims submission, receipt of denial or non-contracted payment, and refund requests. This position must have the ability to learn and understand multiple software systems.

Essential Position Responsibilities


Review and research insurance denials receive through insurance remittances, payor correspondence, or Clearinghouse rejections in an accurate and timely manner



Respond appropriately to payor denials through written and/or verbal appeals processes for payor specific denials
Provide effective communication with patients, insurance companies, and staff
Collaborate with necessary departments to ensure overall account accuracy and issue resolutions
Reconcile transactions to ensure payments are balanced
Maintain current assigned insurance(s) guidelines, policies, and procedures related to payment of claims


Qualifications


Education: High School graduate or GED
Licensure and Certifications: N/A
Experience:

Previous billing and claims experience within a hospital and/or clinic business office with 2+ year experience, preferred.
Basic working knowledge of the MS Office suite of software, and the ability to operate standard office equipment.
Broad knowledge of medical terminology, medical collections, MS-DRG coding methodology, ICD-10 and CPT coding, preferred.




Work Environment: This position will spend 80% of time sitting while performing work in a standard office environment and 20% of time standing and/or walking while pushing, pulling, lifting, and/or carrying up to 50 lbs.

 
Qualifications