[Hiring] Patient Financial Services - Biller 1 @Mercyhealth Wisconsin and Illinois

Role Description

• Submits medical claims both electronically and manually, and uses all technology available to produce clean claims for their assigned workgroup.
• Interprets claims processing reports and applies information to produce clean claims.
• Maintains current knowledge of regulatory billing requirements.
• Makes changes to demographic information as necessary in order to produce a clean claim.
• Must have the ability to analyze coding to assure proper billing of claim.
• Participates in a variety of hospital and physician educational programs to maintain current skill and competency levels.
• Requests and attaches required clinical documentation in accordance with third party requirements.
• Reviews failed claims; resolves claims stopped for claim edits, or billing errors.
• Accesses available resources, such as the patient accounting system, biller files, or payer databases, to locate missing or incorrect information.
• Applies creative problem solving skills in order to overcome obstacles and resolve errors.
• Coordinates with management and external departments to resolve unbilled accounts and potentially recommends process redesign initiatives for long term root cause resolution.
• Completes special projects as assigned.
• Maintains a comprehensive awareness of insurance company updates including Federal and State guidelines.
• Meets productivity goals as assigned by the Revenue Cycle Director.

Qualifications

• High school diploma or equivalent.
• Microsoft Excel required.
• Healthcare billing experience preferred.
• Undertakes self-development activities.

Requirements

• Should understand how to work with others to impact change.

Benefits

• Medical, Dental, Vision
• Life & Disability Insurance
• FSA/HSA Options
• Generous, accruing paid time off
• Paid Parental and caregiver leave
• Career advancement and educational opportunities
• Tuition and certification reimbursement
• Certification Reimbursement
• Well-being Programs
• Employee Discounts
• On-Demand Pay
• Financial Education
• Annual recognition/awards events
• Partner appreciation days
• Family entertainment/attractions discount
• Community service/improvement opportunities

Company Description

At Mercyhealth, we don’t simply hire people, we empower employee-partners who are passionate about making lives better. As an integrated health system, we deliver exceptional, coordinated care across seven hospitals, 85 primary and specialty clinics, and a team of over 7,500 professionals serving northern Illinois and southern Wisconsin.

• #1 in the nation on AARP's Best Employers for Workers Over 50
• One of Working Mother magazine's 100 Best Companies for Working Mothers
• A Top 50 Company and Top 10 Nonprofit for Executive Women