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Office Employee Class III

Job ID 18-2427 Date posted 01/02/2019 Shift Days Shift Length 8 Hours Weekend Requirement None Hours Per Two Week Pay Period 80 Department Ambulance Srvcs Billing Location Brooklyn Center, Minnesota
DescriptionCoordinates 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).

Accountabilities:
• 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.
• Processes uncollectable accounts for collection agency placement or the NMHC Financial Assistance program after exhausting all payment alternatives and upon review by the Supervisor.
• 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.

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

Experience
• Experience based on area:
• Coding certificate preferred (NMTS)
• 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.

Additional InformationThis position will be focused on Self Pay Collections which includes, productivity standards of 100 out-going calls per day as well taking in-bound calls, setting up payment arrangements, explaining garnishment of tax refunds, and effectively bringing accounts to a successful payment resolution. Must be able to handle escalated conversations and understand Fair Debt Collection Practices. Includes assisting customers with the FAA process, and handling Bankruptcies and Probate Filing.

At North Memorial Health, we’re on a mission to change healthcare. We’re delivering unmatched customer service and empowering our customers throughout Minnesota and Western Wisconsin to achieve their best health. North Memorial Health is a leader in delivering advanced medical care from Emergency, Urgent Care, Specialty Programs and Services, Primary Clinics, Ambulance and Air Medical Transportation.


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  • Administrative Support, Brooklyn Center, Minnesota, United StatesRemove