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Posting Date: September 21, 2017

Position Title: Hospital Medicare Billing Representative

Requisition# 1530


Department/Unit: Patient Financial Services
Location: Crestline
Status: Full Time
Hours Per Pay: 80
Shift: 1st Days of Week: Monday-Friday

Apply NowRequirements:

  • Fully knowledgeable of, and conducts all activities in accordance with Medicare regulatory compliance requirements, including but not limited to billing regulations, Medicare Secondary Payer Screening requirements, medical necessity screening and ABN rules, Red Flag Rules, and billing and coding compliance rules and regulations.
  • Knowledge and understanding of AHS managed care payer and Medicare supplement rules.
  • Previous hospital billing experience required. Experience billing hospital claims to Medicare strongly preferred.
  • Experience investigating Correct Coding Initiative edits required.
  • Knowledge of Medicare specific billing rules and regulations required.
  • High school graduate or equivalent required.

Preferred:

  • Advanced degree or active pursuit of advanced degree.
  • AAHAM or HFMA certification or active pursuit of certification.

 

Posting Date: August 30, 2017

Position Title: A/R Follow-Up Representative

Requisition# 1489


Department/Unit: Patient Financial Services
Location: Crestline
Status: Full Time
Hours Per Pay: 80
Shift: 1st Days of Week: Monday-Friday

Apply NowQualifications:

  • Fully knowledgeable of, and conducts all activities in accordance with regulatory compliance requirements, including but not limited to HIPAA rules and regulations, Medicare Secondary Payer Screening requirements, medical necessity screening and ABN rules, Red Flag Rules, and billing and coding compliance rules and regulations.
  • Knowledge and understanding of AHS managed care payer rules.

Preferred:

  • High school graduate or equivalent.
  • Advance degree or active pursuit of advanced degree.
  • Coding certification, or active pursuit of certification.
  • Previous physician office and hospital billing experience and demonstrated knowledge of third-party billing procedures and claim review and analysis strongly preferred.

 

Posting Date: August 9, 2017

Position Title: Hospital Receivable Manager

Requisition# 1428


Department/Unit: Patient Financial Services
Location: Crestline
Status: Full Time
Hours Per Pay: 80
Shift: 1st Days of Week: Monday-Friday

Apply NowQualifications:

  • Fully knowledgeable of, and conducts all activities in accordance with Medicare, Medicaid, and payer compliance requirements.
  • Experience billing government and private payers.
  • Ability to work with physicians, payer representatives, internal customers, and peers in a collaborative manner.

Preferred:

  • Previous management or supervisory experience.
  • Previous hospital account follow-up and denial resolution experience.
  • Associate or Bachelor’s degree in related field.
  • HFMA certification.
  • In-depth knowledge of ICD-10 and CPT procedure codes.