Billing Account Specialist - June E Nylen Cancer Center

UnityPoint Health


Date: 6 days ago
City: Sioux City, IA
Contract type: Full time
  • Area of Interest: Patient Services
  • FTE/Hours per pay period: 1.0
  • Department: Revenue Cycle
  • Shift: Monday-Friday, Days
  • Job ID: 170295

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.

Why UnityPoint Health?

At UnityPoint Health, you matter. We’re proud to be recognized as a Top 150 Place to Work in Healthcare by Becker's Healthcare several years in a row for our commitment to our team members.

Our competitive Total Rewards program offers benefits options that align with your needs and priorities, no matter what life stage you’re in.  Here are just a few:    

  • Expect paid time off, parental leave, 401K matching and an employee recognition program.
  • Dental and health insurance, paid holidays, short and long-term disability and more. We even offer pet insurance for your four-legged family members.
  • Early access to earned wages with Daily Pay, tuition reimbursement to help further your career and adoption assistance to help you grow your family.

With a collective goal to champion a culture of belonging where everyone feels valued and respected, we honor the ways people are unique and embrace what brings us together.  

And, we believe equipping you with support and development opportunities is a vital part of delivering an exceptional employment experience.

Find a fulfilling career and make a difference with UnityPoint Health.

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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