Carson Valley Health ยท 1 month ago
Business Office-Billing & Collection Specialist - Full Time
Gardnerville, NV, US
Full-time
Onsite
Entry Level
1+ years expCarson Valley Health is a healthcare organization focused on providing quality services. They are seeking a Business Office-Billing & Collection Specialist to manage billing and collections processes, ensuring accurate claims and improving revenue cycle efficiency.
Health CareHospitalMedicalNon ProfitOncologyPrimary and Urgent Care
Responsibilities
Works with team to ensure the accurate entry of charge data to include appropriate CPT and CD - 9/10 codes
Works with physicians and other staff to ensure all encounter forms are completed at time of service and coding is accurate and representative of the patient visit
Accurately sends out bills to third party payers (electronically and via paper) daily
Ensures all electronic claims have been received on a daily basis
Work assigned Work Queues to correct errors, ensuring accurate claims and reimbursement on first claim submission
Audit denials and payment variances to determine root cause and correction as required
Auditing payment variances ensuring appropriate reimbursement
Provide specific and in depth contract knowledge to ensure maximum reimbursement of healthcare claims
Resolve credit balances by reviewing payments, adjustments or transfers correcting the patient account to reflect an accurate account receivable balance
Work with leadership and other internal departments to improve processes, increase accuracy, create efficiencies and decrease denials to achieve the overall goals of the organization
Maintain a current knowledge of CPT/HCPCS, CD, DRG, HCFA forms, ability to manipulate and analyze 837 and all other HIPAA transaction sets
Accurately track and follow up on all outstanding claims from the third party providers
Utilize telephone and computer methods to track the status of each claim
Maintain a portfolio of claims that are followed up each month
Review Explanation of Benefits on a regular basis to identify denial trends
Adequately prepare denial reports and train physicians and staff on how to prevent denials through accurate coding
Contact all patients regarding outstanding balances
Work with outsourced collection agencies
Answers telephones, routes callers, takes messages and provides routine information to callers
Returns Phone calls in a timely manner
Relays messages to appropriate staff members
Qualification
Required
High School Diploma or equivalent
Must be proficient with Microsoft Office Suite, PowerPoint, Excel, and Word, and have the ability to use the computer to complete online learning requirements for job-specific competencies, access online forms and policies, complete online benefits enrollment, etc
Preferred
Knowledge of EPIC EHR is desirable
Knowledge of CMS 1500/UB billing preferred
Knowledge of the physician practice and hospital revenue cycle preferred
Knowledge of multiple insurance billing requirements preferred
1-2 years of billing experience in NV Medicaid, Commercial and Managed Care billing preferred
Billing and Collection experience preferred
Knowledge of UB04 Inpatient and Outpatient Medicaid Billing in a Hospital or Healthcare setting preferred
Benefits
NO STATE INCOME TAX
Hometown Health Medical, EyeMed Vision, Guardian Dental and Flexible Spending Account.
Vanguard 401(k) with match.
Employer paid Care Flight Membership for your household (full-time employees) (A Division of REMSA).
Employer Paid Basic Life and AD&D insurance.
Unum Supplemental Insurance (Critical Illness, Accident, Short Term & Long Term Disability).
Earned Time Off, Sick Leave and Paid Holidays.
Nevada 529 College Fund.
Unum Employee Assistance Program.
Employer paid Credit monitoring and Identity Theft Program through CyberScout.
Tuition Reimbursement, Clinical Ladder* & HRSA Loan Repayment Program* (*for qualifying positions).
Priority Childcare Enrollment with the Boys and Girls Club of Western NV for ages 9 months+.
Paid Volunteer Hours for staff to help in the community.
And More...
Company
Carson Valley Health
Carson Valley Health (CVH) is YOUR COMMUNITY HOSPITAL, providing quality healthcare to the residents of Carson Valley, Genoa, Gardnerville, Minden, Topaz Ranch, and beyond.
201-500 employees
Funding
Current Stage
Growth StageLeadership Team
Jeff Prater, MHA, FACHE
President & Chief Executive Officer
Andrea Highfill DNP, RN
Chief Nursing Officer (interim to full time)
Recent News
Company data provided by crunchbase