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Billing Specialist

Employer
Altru Health System
Location
Grand Forks, ND
Salary
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Job Details

Job Summary

The Billing Specialist answers patient inquires and handles correspondence and questionnaires from patients and contacts them when needed. This position demonstrates sound working knowledge of government regulations and other insurers requirements. The specialist identifies claims which cannot be transmitted, obtains and keys information which is a prerequisite to claim filing, and establishes a daily routine from the work queue to track pending eligibilities and unpaid claims. The Billing Specialist assists Manger/Supervisor in defining new requirements, inefficiencies and errors.

Title and Description

Answers patient inquiries, both clinic and hospital accounts, and obtains Medicare secondary payer information. Handles all correspondence and questionnaires from patients.

Obtains and keys information which is a prerequisite to claim filing, makes any needed edit changes to the primary payer designation and completes these procedures prior to the release of any applicable holds. Reviews appropriate accounts to be placed on hold.

Performs billing that optimizes cash returns and minimizes denied charges, follows guidelines in a sensitive, yet assertive manner when assisting patients.

Identifies claims which cannot be transmitted and requests paper claims from the system and edits, corrects and batches forms for mailing and/or electronic transmissions.

Works coverage update work queues or retro adjudication work queues appropriately on a daily basis. Works daily work queue of accounts on hold and completes combined accounts, provider based and inpatient hospital claims.

Assists Manager/Supervisor in defining new requirements, suggesting solutions and testing additional systems or enhancements.

Responds appropriately to necessary changes by staying up-to-date on payer requirements and system capabilities through insurance bulletins by working and editing accounts.

Identifies delays, inefficiencies and errors which delay the claims process and solves them independently if possible or reports to Manager/Supervisor.

Performs other duties as assigned or needed to meet the needs of the department/organization.

Education & Experience

Degree/Diploma Associates in Business or related field

Experience A minimum of 2 years of related experience

Company

Do what you love. Make a difference. Join our team of over 4,000 health professionals and support staff committed to caring for the region for more than 100 years.

At Altru Health System, we are serious about providing an exceptional patient experience and positively impacting the communities we serve. Our physician-led, community-owned, not-for-profit health system serves over 225,000 residents in northeast North Dakota and northwest Minnesota. We are a proud member of the Mayo Clinic Care Network.

If reasonable accommodation is needed to apply or interview for a position, please contact careers@altru.org or 701.780.5123.

Company info
Website
Telephone
701-780-5123
Location
Grand Forks
North Dakota
US

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