GOVERNMENTAL BILLER

Company: Trinitas Regional Medical Center
Location: Cranford
Posted on: January 27, 2023

Job Description:

JOB SUMMARY
As a Governmental Biller, the successful candidate will be responsible to bill Inpatient and Outpatient Governmental claims in compliance with Medicare/Medicaid Billing Regulations, and MSP Billing. In addition, the candidate will:

Review and research all billing edits/errors in the hospital billing system as well as the electronic claim scrubber software systems.
Handle all claims in Suspense and initiate rebills as necessary.
Must be able to work secondary claims as assigned and maintenance of vouchers.
Vouchers must be worked and must be up-to-date.
Review denials and notify supervisor of trends, review and report DRG payment discrepancies.
Be able to perform online adjustments as necessary and adjustment to CCF forms.
Review UR letters and take appropriate action.
Follow up on recoupment reports and perform eligibility review, maintain a current A/R.
Meet departmental productivity standards.
Meet departmental compliance standards.
Any other duties/responsibilities as assigned by the Supervisor.

Educational Skills Required (Degree(s), Certification(s), License, etc.)
High School Diploma; Billing certificate preferred
Medicaid/ Charity Care Experience is preferred

Work Experience Required
Minimum of 2 years billing experience in Medicare/Medicaid required; preferably in a hospital setting.

Keywords: Trinitas Regional Medical Center, New York , GOVERNMENTAL BILLER, Other , Cranford, New York