About North Memorial Health

At North Memorial Health, you're part of an inclusive health family that is rooted in our values of relationships, inventiveness, and accountability. Empathy and care are at the heart of North's culture which is designed to actively support each team member's wellbeing and growth. Our strength lies in our diversity, and we embrace the unique contributions and experiences of each person. Together, we empower customers to achieve their best health.

About this position

Coordinates the production steps necessary to submit accurate and timely bills to third party and private payers, monitors and follows up on all outstanding account balances, collects accounts in a timely manner while adhering to the NMHC Credit Policy, posts customer and third party payments to the accounts receivable, reviews remittance, advises and provides customer service to customers/customer groups in the resolution of customer accounts. Partners with the appropriate staff and departments to ensure optimal working relationships. Variation of duties may result based on the assigned area(s).

What we’ll expect from you

• Enters customer charges into the system in accordance with NMTS charge structure.
• Verifies all customer demographic and payer information.
• Updates computer charge maintenance files as necessary (i.e. procedure, diagnosis, and insurance master files).
• Processes bills for submission to insurance, and customer/customer statements. Reprocesses or re-bills claims as necessary.
• Assigns the appropriate diagnostic codes and UB92/1500 required billing codes (NMTS).
• Follows billing requirements designated by payer and/or the UB92/1500 manual.
• Performs various follow up activities including telephone calls, appeals, letters and utilizes payer websites to achieve timely resolution.
• Prepares refund requests or forwards to appropriate person depending on department/area.
• Reviews accounts to be considered for write off due to exhausted follow up efforts and time limits.
• Reviews accounts with balances that were a result of incorrect payer payments/adjustments.
• Enters detailed documentation of activity on accounts.
• Prepares and posts various payer remittances.
• Prepares and balances daily deposits.
• Processes credit card payments and posts payment to the appropriate account.
• Identifies credit balances and performs the appropriate action to resolve the credit.
• Assists customers with claims or payment issues.
• Answers telephone billing inquiries from customers, outside sources and in-house personnel.
• Performs skip tracing on accounts that are coded “Return Mail” or when the guarantor cannot be located.
• Performs various customer service duties including inbound/outbound calling and review of customer accounts and resolution in accordance with North Memorial 501R collection policy
• Processes uncollectable accounts for collection agency placement or the NMHC Financial Assistance program after exhausting all payment alternatives and upon review by the Supervisor.
• Ensures compliance with quality assurance and productivitydepartment goals specific to main job responsibilities for each area of the business office in accordance with the mission statement of North Memorial Health.
• Accepts other duties as assigned to promote the accomplishment of organizational goals.
• The team member is accountable to demonstrate proficiency for the skills outlined in the appropriate position skills list.
• The team member is accountable to maintain skill proficiency, including improvement where deemed necessary, and upgrading any additional or new skills on the appropriate position skills list.
• Recognizes and complies with legal, regulatory, accrediting and procedural requirements related to area of responsibility.
• Understands and follows principles and standards as outlined in North Memorial's Corporate Code of Conduct.
• Protects customer and team member privacy and only accesses customer and/or team member related information as needed to perform job duties.
• Reports violations or areas of concern to supervisor or Corporate Compliance Officer via established methods of communication.
• Understands and follows principles and standards as outlined in North Memorial's Corporate Code of Conduct.
• Protects customer and team member privacy and only accesses customer and/or team member related information as needed to perform job duties.
• Reports violations or areas of concern to supervisor or Corporate Compliance Officer via established methods of communication.
• Recognizes and complies with legal, regulatory, accrediting and procedural requirements related to area of responsibility.
• Understands and follows principles and standards as outlined in North Memorial's Corporate Code of Conduct.
• Protects customer and team member privacy and only accesses customer and/or team member related information as needed to perform job duties.
• Reports violations or areas of concern to supervisor or Corporate Compliance Officer via established methods of communication.

Interested? Here are our requirements

Education

• High school graduate or equivalent (i.e., GED) required.   

Experience, Knowledge, Skills, Abilities 

Experience based on area:
• Coding certificate preferred (NMTS) for Coding positions only.
• Two years credit and collections experience required in a health care environment.
• Minimum one year multiple payer medical billing experience required in a health care environment.
• Minimum one year cash application (posting) experience required (will accept two years billing experience)

Knowledge, Skills and Abilities
• Knowledgeable of and skill in using computer billing software.
• Knowledgeable of industry standards and payer requirements.

      

Licensure/Certification(s) Mandatory

Licensure/Certification(s) Mandatory where Applicable

Licensure/Certification(s) Preferred