Billing Account Specialist - June E Nylen Cancer Center

				Overview:

June E. Nylen Cancer Center

Monday-Friday, Days, Full Time

Under the general supervision of the Director of Finance, performs assigned duties, including import and review of all bills for inpatient and outpatients for all third-party insurance companies as well as billings directly to patients.

Responsibilities:

* Serve as the primary resource to staff and patients for questions related to claims billed.
* Imports charge entry batches from the clinical record to the billing system.
* Reviews charges in compliance with billing regulations to ensure appropriateness of billing.  Adjusts off charges not to be billed based on billing regulations.
* Adds modifier(s) to charges, as warranted, to ensure timely and appropriate reimbursement received.
* Files claims for reimbursement to both 3rd party payers and individual patients and ensures timely filing guidelines are met.
* Monitor daily billing activity/productivity (i.e., timeliness of posting of charges, follow-up, etc.).
* Share responsibility through timely communication of identified problems to assure proper follow-up is completed.
* Obtain pre-authorizations as needed for treatments and tests.
* Track hospital charges and bill hospitals monthly.
* Cross-train on duties of other positions in the billing department.
* Perform other duties as assigned by the supervisor to facilitate the smooth and effective operations of the department.

Qualifications:

* High school diploma or GED required. Additional technical education preferred.
* Minimum of two years prior billing and collections experience required.
* Knowledge of medical terminology required.
* Knowledge of Medicare, Medicaid, MCOs, and commercial insurance required.
* Must have an understanding of CPT and ICD-10 coding and prior coding experience preferred.
* Must demonstrate astute attention to detail. 
* Accurate keyboarding skills required along proficiency with Microsoft Word and Excel.
* Must have excellent written and verbal communication skills and be a team player.
* Must demonstrate professionalism and service excellence in all encounters.
* Ability to understand and apply guidelines, policies and procedures.
* Must be a self-starter and able to work independently.
* Good attendance is unequivocally required.
			

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UnityPoint Health