Medicare Biller Compliance Specialist

Position Summary

Works hospital claims for Governmental Payers to ensure correct reimbursement assuring medical necessity and compliance is met.

Primary Position Responsibilities

• Perform all activities for billing, claim adjustment, account follow-up processes.

• Utilize tools and software provided.

• Complete payment review, working Compass Exception Reports and Remits.

• Other duties as needed.

• Process denials timely.

• Exhibit strong professional customer service in daily interactions.

Qualifications

Minimum Education :

Required:

High School Diploma or Equivalent

Preferred:

Associates Degree in Business Administration

Minimum Years of Experience (Amount, Type and Variation) :

Required:

None

Preferred:

Two years experience in a hospital or physician billing environment, two years experience working on a Windows based software package and prior experience working in a customer service environment. Experience with Medicare Rules, DRG/APC payment methodology.

License, Registry or Certification :

Required:

None

Preferred:

Certificate and/or advanced specialized or technical training: Certified Revenue Cycle Professional (CRCP)

Knowledge, Skills and/or Abilities :

Required:

Computer Skills and Customer Service Skills.

Preferred:

Detail oriented, bookkeeping skills, Team player

Hunterdon Health is committed to providing a competitive benefit package to our employees. Benefit offerings vary based on status and may include but not be limited to medical, dental, vision, family forming, paid time off, tuition reimbursement, and retirement savings.

The hiring range listed is the potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement. When determining an applicant’s hourly rate and/or base salary, several factors may be considered as applicable (e.g., years of relevant experience, education, internal equity, and specialty).