Patient Financial Services -Biller 1 - Mercy Health : Job Details

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; resolve claims stopped for claim edits, or billing errors. Access available resources, such as the patient accounting system, biller files, or payer databases, to locate missing or incorrect information. Apply creative problem solving skills in order to overcome obstacles and resolve errors. Coor...Biller, Financial, Patient, Service, Claims, Healthcare