Biller Denial Management Specialist
Mount Nittany Health · Bellefonte, Pennsylvania, US
POSITION SUMMARY The position bills claims to HMO’s, Blue Cross Plans, Medical Assistance, and Medicare using standard hospital UB04’s and 1500 forms throu...
Job description
POSITION SUMMARY: The position bills claims to HMO’s, Blue Cross Plans, Medical Assistance, and Medicare using standard hospital UB04’s and 1500 forms through electronic claim transmission and paper in HIPPA compliant format. Reviews registrations for complete information obtained by registration to ensure accurate billing. Reviews all claims for accurate departmental charges before billing. Contacts insurance companies by telephone and internet for up to date billing procedures. Contacts physician’s offices by telephone for billing information. Performs a variety of duties relating to interfacing with insurance professionals (Hospital Insurance Provider Representatives) and other departments within the Medical Center. Performs a variety of duties relating to the processing of data for billing purposes. Education: Experience: - High School graduate or equivalent. - Graduate of an approved medical secretarial Associate Degree program preferred and / or minimum of 2 years of related experience. - Relevant experience in a related position which has provided the applicant with strong working knowledge in HIPPA compliance coding and billing. License/Certification/Registration: - Demon...