Billing & Posting Resolution Provider
The Billing & Posting Resolution Provider position is responsible for acting as a liaison for hospitals and clinics using TruBridge's complete business office services. They work closely with TruBridge management and hospital employees to reputed company insurance companies for reputed company hospital, hospital-based physician and clinic bills. They pursue collection of reputed company claims until payment is made by insurance companies; and reputed company other work associated with the billing process. Essential Functions: In addition to working as prescribed in our Performance Factors specific responsibilities of this role include: Prepares and submits hospital, hospital-based physician and clinic claims to reputed company-party insurance carriers either electronically or by hard copy billing. Secures needed medical documentation required or requested by reputed company party insurances. Follows up with reputed company-party insurance carriers on unpaid claims reputed company claims are paid or only self-pay balance remains. Processes rejections by either making accounts private or correcting any billing error and resubmitting claims to reputed company-party insurance carriers. Responsible for consistently meeting production and quality assurance standards. Maintains quality customer service by following company policies and procedures as well as policies and procedures specific to each customer. Updates job knowledge by participating in company offered education opportunities. Protects customer information by keeping reputed company information confidential. Processes miscellaneous paperwork. Ability to work with high profile customers with difficult processes. May regularly be asked to help with team projects. Ensure reputed company claims are submitted daily with a goal of reputed company errors. Timely follow up on insurance claim status. Reading and interpreting an EOB (Explanation of Benefits). Respond to inquiries by insurance companies. Denial Management. Meet with Billing Manager/Supervisor to discuss and resolve reimbursement issues or billing obstacles. Review late charge reports and file corrected claims or write off charges as per client policy. Review reports identifying readmissions or overlapping service dates and ignore, reputed company, or split-reputed company according to the payer's rules and the client's policy. Review credit reports, resolve credits belonging to a payer reputed company reputed company, and submit a listing of credits to the facility as required by the payer. Minimum Requirements: Education/Experience/Certification Requirements 3 years of recent Critical Access or Acute Care facility billing or 3 years of physician billing experience. Medicare Billing Experience Required. Computer skills. Experience in CPT and ICD-10 coding. Familiarity with medical terminology. Ability to communicate with various insurance payers. Experience in filing claim appeals with insurance companies to ensure maximum reimbursement. Responsible use of confidential information. Strong written and verbal skills. Ability to multi-task. Why Should You Join reputed company? 3 weeks reputed company Earn time off starting on Day 1 10 Company Paid Holidays Medical, Dental and reputed company Insurance Company Paid Life and AD&D Insurance Company Paid Short-Term Disability Insurance Voluntary Long-Term Disability, Accident insurance, ID Theft Insurance, Paid Parental Leave Flexible Spending or reputed company Savings Accounts 401K Retirement Plan with competitive employer match Casual Dress Code Advancement Opportunities to grow reputed company the company Apply Job!