Meditech Claims Processor - UB-04 and HCFA
TruBridge Inc.
UB-04 Facility Claims Processor - Meditech page is loaded## UB-04 Facility Claims Processor - Meditechlocations: Remote - UStime type: Full timeposted on: Posted Yesterdayjob requisition id: JR102365The UB-04 Facility Claims Processor - Meditech position is responsible for acting as a liaison for hospitals and clinics using TruBridge’s complete business office services. They work closely with TruBridge management and hospital employees to bill insurance companies for all hospital, hospital-based physician and clinic bills. They pursue collection of all claims until payment is made by insurance companies; and perform other work associated with the billing process.**Essential Functions:**In addition to working as prescribed in our Performance Factors specific responsibilities of this role include:* Prepares and submits hospital, hospital-based physician and clinic claims to third-party insurance carriers either electronically or by hard copy billing.* Secures needed medical documentation required or requested by third party insurances.* Follows up with third-party insurance carriers on unpaid claims till claims are paid or only self-pay balance remains.* Processes rejections by either making accounts private or correcting any billing error and resubmitting claims to third-party insurance carriers.* Responsible for consistently meeting production and quality assurance standards.* Maintains quality customer service by following company policies and procedures as well as policies and procedures specific to each customer.* Updates job knowledge by participating in company offered education opportunities.* Protects customer information by keeping all information confidential.* Processes miscellaneous paperwork.* Ability to work with high profile customers with difficult processes.* May regularly be asked to help with team projects.* Ensure all claims are submitted daily with a goal of zero errors.* Timely follow up on insurance claim status.* Reading and interpreting an EOB (Explanation of Benefits).* Respond to inquiries by insurance companies.* Denial Management.* Meet with Billing Manager/Supervisor to discuss and resolve reimbursement issues or billing obstacles.* Review late charge reports and file corrected claims or write off charges as per client policy.* Review reports identifying readmissions or overlapping service dates and ignore, merge, or split-bill according to the payer’s rules and the client’s policy.* Review credit reports, resolve credits belonging to a payer when able, and submit a listing of credits to the facility as required by the payer.**Minimum Requirements:**Education/Experience/Certification Requirements* **3 years of recent Critical Access or Acute Care facility and professional claim billing*** **Meditech E.H.R Experience Required.*** Computer skills.* Experience in CPT and ICD-10 coding.* Familiarity with medical terminology.* Ability to communicate with various insurance payers.* Experience in filing claim appeals with insurance companies to ensure maximum reimbursement.* Responsible use of confidential information.* Strong written and verbal skills.* Ability to multi-task.locations: Remote - UStime type: Full timeposted on: Posted 11 Days Ago #J-18808-Ljbffr
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