Employment Spot

Job Description

Job Summary:  Post Physician/Provider charges into the horizon system for timely payment from insurance companies; research outstanding claims or unpaid private balances; post private payments and work credit allocation report.
Essential Duties:1.       Price Superbills before entry into the Horizon system. 2.       Screen and review Superbills at time of entry for proper completion and accuracy. 3.       Return Superbills with errors to appropriate individuals for proper completion.     4.       Enter all billing/charge information from the Superbill into Horizon. 5.       Enter corrected entries and ensure that batches balance. 6.       Print weekly reports as directed, B.O. Report. Mail HCFA's. 7.       Identify all missing Superbills to ensure all charges are in system by month end. 8.       Update Patient Insurance changes as well as episode maintenance. 9.       Attend in-service and other meetings as required. 10.   Participate in professional development activities. 11.   Maintain patient confidentiality. 12.   Perform similar and incidental duties as assigned.

Job Requirements

Education:

• High school diploma or GED equivalent required.
• A basic course in medical terminology, medical billing and/or Accounting required. Twelve (12) to eighteen (18) months related medical billing experience may substitute for course requirement.

• A minimum of two years of data entry in a health care environment or medical office experience required.
• Knowledge of insurance carriers and their requirements for billing, including CPT and diagnosis codes also required.

• None required.

• Demonstrates a commitment to service, organization values and professionalism through appropriate conduct and demeanor at all times
• Adheres to and exhibits our core values:
  Reverence: Having a profound spirit of awe and respect for all creation, shaping relationships to self, to one another and to God and acknowledging that we hold in trust all that has been given to us.
  Integrity: Moral wholeness, soundness, uprightness, honesty and sincerity as a basis of trustworthiness.
  Compassion: Feeling with others, being one with others in their sorrows and joys, rooted in the sense of solidarity as members of the human community.
  Excellence: Outstanding achievement, merit, virtue; continually surpassing standards to achieve/maintain quality.
• Maintains confidentiality and protects sensitive data at all times
• Adheres to organizational and department specific safety standards and guidelines
• Works collaboratively and supports efforts of team members
• Demonstrates exceptional customer service and interacts effectively with physicians, patients, residents, visitors, staff and the broader health care community