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Billing Representative 1 job

Mercy Health System jobs

Company

Job Description

As part of our commitment to our Mercyhealth Hospital#Rockton Avenue campus and the surrounding community, Mercyhealth is currently hiring more than 30 new clerical and administrative positions for our new Single Business Office at the Rockton Avenue campus. These new positions represent a continued investment in the communities which we serve. JOB SUMMARY ##### Performs all billing related functions, including, but not limited to, Medicare, Medicaid, Commercial, Managed Care, and other government payers as primary, secondary and tertiary.# Responsible to review, correct, and prepared account claims for reimbursement.# Must be able to work with minimal direct supervision. # ESSENTIAL DUTIES AND RESPONSIBILITIES # # Verifies all billing information for accuracy which includes contacting patients and/or departments to ensure all charges on the itemized bill are appropriate.# Understands the purpose and functionality of billing edits.# Is knowledgeable with CPT codes, use of modifiers and Local Medical Review Policies (LMRP) from CMS. Reviews all claim forms for accuracy. Completes the daily importing into the electronic billing system. Maintains in-depth understanding of applicable insurance regulations, legal requirements, software functionality to ensure all billing is in compliance with all mandates. Monitors late charges and/or late credits to determine if rebills are necessary. Responsible to document all account activity within the Epic system. Submits documentation for audits, medical reviews and initiates appeal processes when necessary. Responsible to work rejections and/or denials to resolution. Prioritizes work effectively in order to prevent backlogs.# Communicates workload issues to Lead or Supervisor.# Assists others to avoid backlog as needed. Maintain productivity standards as outlined in the Revenue Cycle Department. Works special projects as assigned. Perform other duties as assigned.#

Newly created position for insourcing professional billing.

Mercy Health System

Type

Hospital

Size

Large

Revenue

$500M to $1B

Location

Rockford, IL, and others

Industry

Hospitals

Founded

1918

CEO

Javon Bea President

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RN CASE MANAGEMENTMercy Health SystemRockford, IL
Experience a rewarding and fulfilling career with Mercyhealth. Mercyhealth is committed to offering our partners a best place to work. Our unique workplace Culture of Excellence is built upon: Employee engagement, empowerment and growth Teamwork toward our...Read more
This position has flexibility of being based in Rockford, IL or Janesville, WI, with expectation of traveling to opposite location as needed. Experience a rewarding and fulfilling career with Mercyhealth. Mercyhealth is committed to offering our partners a...Read more
Phlebotomy TechnicianMercy Health SystemRockford, IL
Department/Skill highlights Ask us about your sign on bonus eligibility! Riverside Blvd location, 10p-630a, 80 Hrs/2 wks Weekend/on call rotation Experience a rewarding and fulfilling career with Mercyhealth. Mercyhealth is committed to offering our...Read more
Medical AssistantMercy Health SystemWinnebago, IL
Department/Skill Highlights Winnebago, Day,#64 hrs/ 2 wks Mercyhealth# Clinic # Family Practice Monday - Friday # 8:00a-5:00p Saturday - one per month Job Summary Experience a rewarding and fulfilling career with Mercyhealth.# Mercyhealth is committed to...Read more
Mgr Center Ctr-Svc Line AdminMercy Health System - WIRockford, IL
Responsible for the clinical oversight and accountable for the day to day operations of the Cancer Center and Tumor Data Registry. Plans, directs, coordinates, supervises and evaluates the patient care delivered. Reponsibilities include managing and...Read more
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