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JSMG Patient Billing Representative-Full Time

Company: Jennie Stuart Medical Center, Inc.
Location: Hopkinsville
Posted on: August 7, 2022

Job Description:

Mandatory COVID-19 guideline: As of March 15th, 2022, all onsite JSH employees must have received the necessary doses to complete the COVID-19 vaccine series (i.e., one dose of a single-dose vaccine or all doses of a multiple vaccine series) or have been granted a qualifying exemption, or are identified as having a temporary delay as recommended by the CDC. New hires also will be required to comply with this requirement before working onsite at any JSH facility. Responsible for correctly processing healthcare claims in order to obtain reimbursement from insurance companies, government healthcare program, and patients.Required SkillsCustomer Services:+ Provides exceptional customer service.+ Answering and referring inquiries within scope of business services.+ Telephone: Answers telephone, processes call, and document appropriately. Returns all messages in a timely manner.+ Maintains communication between medical providers, administrative staff, and/or patient/families.Business Services:+ Assigns ICD-10, CPT, and HCPCS codes based on provider documentation.+ Reviews charges entered by providers and communicates with providers possible claim issues.+ Prepares and submits claim for insurance reimbursement.+ Reviews, works, and corrects both internal errors and denials from insurance companies and re-files the claim.+ Files appeals to carriers according to prescribed guidelines, documents all information related to appeals and follows up.+ Scans and uploads patient clinical documents into medical chart.+ Ensures all provider services are accounted for and billed.+ Handles billing complaints and discrepancies.+ Assists patients with the collection of payments on outstanding balances.Environmental Services:+ Contributes to the overall cleanliness and appearance of personal work space and department.+ Monitors supply levels and requests when needed.+ Maintains all equipment. Evaluates all equipment for damage or maintenance needs and reports when needed.Required ExperienceMinimum Education: High School diploma or G.E.D equivalentWork Experience: One year or more experience in a medical office working with insurance claims.Required License/ Certification/Registration: NoneSkills:+ Communication Excellence+ Knowledge and ability to work in accordance federal and state regulations+ Ability to work tactfully and effectively with patients, family members, other employees and physicians.+ Analytical abilities+ Word Processing / Computer+ Strong customer service+ Multi-tasking+ Time Management+ Organization+ Attention to Detail+ Professionalism / Positive Attitude+ Quality Focus+ Adaptability

Keywords: Jennie Stuart Medical Center, Inc., Clarksville , JSMG Patient Billing Representative-Full Time, Accounting, Auditing , Hopkinsville, Tennessee

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