Representative - Billing: MPG - Business Office
Full Time
Miramar, FL 33025
Posted
Job description
Summary:
Prepares, reviews, and submits patient account billing.
Prepares, reviews, and submits patient account billing.
Detailed responsibilities:
- Prepares bills in the paper and/or electronic format designated by departmental and payor guidelines. Transmits bills to appropriate third party payors and responsible parties.
- Reviews bills for accuracy, including proper diagnosis and procedure codes. Reviews bill rejections and issues. Collaborates internally and with payors to resolve billing issues. Responds to patient billing inquiries.
- Documents billing activities in patient account records. Maintains documentation of claims processed as part of the daily claims reconciliation process.
Competencies and skills:
Essential:
- STANDARDS OF BEHAVIOR: Acts in a manner that supports the standards of communication, respect, privacy, and teamwork by demonstrating a commitment to professional and ethical conduct.
- CUSTOMER SERVICE: Demonstrates commitment to service excellence by promptly addressing internal/external customer issues/requests, resolving concerns while maintaining a professional image and behavior to build and enhance the patient/family/customer experience.
- ACCOUNTABILITY: Accepts ownership of job roles and specific assignments/goals; works independently, takes responsibility for own actions; admits mistakes and judgment errors; and accepts constructive feedback. Connects personal work results to the accomplishment of team and organizational goals.
- RESPONDING TO CHANGE: Accepts change and adapts in a positive and productive manner; handles unexpected situations and changes in direction calmly and with confidence. Views new assignments and job responsibilities as an opportunity for growth.
- BILLING: Processes accurate payor claims to ensure timely reimbursement.
- ACCURACY: Completes work assignments within established quality and/or quantity standards.
- ANALYSIS AND DECISION MAKING: Uses decision making processes and tools to analyze situations and make effective decisions.
- PROBLEM SOLVING: Ability to identify, analyze and effectively solve problems.
Education:
Essential:
Essential:
- High School Diploma or Equivalent
Credentials:
Other information:
Complexity of Work: Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action.
Required Work Experience: None required.
Complexity of Work: Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action.
Required Work Experience: None required.
Working conditions:
Essential:
Essential:
- Keyboard Entry 80.00%
- Lifting or Carrying 0 - 25 lbs Non-Patient 60.00%
- Pushing or Pulling 0 - 25 lbs Non-Patient 60.00%
- Repetitive Movement Hand/Arm 80.00%
- Sitting 80.00%
- Standing 80.00%
- Walking 80.00%
- Audible Speech 80.00%
- Hearing Acuity 80.00%
- Depth Perception 80.00%
- Seeing - Far 80.00%
- Seeing - Near 80.00%
- Computer Monitor 80.00%
Organizational Profile:
Memorial Healthcare System, consisting of 6 acute care hospitals, a nursing home, outpatient facilities, home health services and physician practices, provides quality, comprehensive care to the residents of the surrounding communities. We invite you to join one of the nation's leading healthcare systems, recognized for use of advanced technology and clinical informatics.
Memorial Support Services provides a variety of business services to support our facilities. The main offices are located in Miramar with satellite offices located throughout our system.
Memorial Healthcare System, consisting of 6 acute care hospitals, a nursing home, outpatient facilities, home health services and physician practices, provides quality, comprehensive care to the residents of the surrounding communities. We invite you to join one of the nation's leading healthcare systems, recognized for use of advanced technology and clinical informatics.
Memorial Support Services provides a variety of business services to support our facilities. The main offices are located in Miramar with satellite offices located throughout our system.
Disclaimer:
This job description is not intended, nor should it be construed to be an exhaustive list of all responsibilities, skills, efforts or working conditions associated with the job. It is intended to indicate the general nature and level of work performed by employees within this classification.
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