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