Patient Accounts Rep Certified Coder

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POST DATE 8/20/2016
END DATE 10/18/2016

Saint Luke's Health System Kansas City, MO

Company
Saint Luke's Health System
Job Classification
Full Time
Company Ref #
95110019
AJE Ref #
575940306
Location
Kansas City, MO
Job Type
Regular

JOB DESCRIPTION

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Posted Date: 17-Aug-2016Address: 901 E 104 StreetPostal Code: 64131Shift Type: Full-timeCategory: Patient Account-AdmittingDescription The primary responsibility of this position is resolving complex claim review edits and coding denials in claims follow-up. This individual will have direct interface with coders, assist patient account reps with complex denials through instruction/education, appealing denials and underpayments. Applicant needs to be comfortable with written and verbal communications when appealing based upon medical necessity, contractual obligations or payor policies. Applicant should be familiar with NCCI edits, incidentals/inclusive, and bundling rules, etc. Performs all billing and collecting activities to manage the accounts receivables for the Physician Enterprise Centralized Billing Office (CBO). Activities include, but are not limited to, charge entry, payment posting, account follow-up and reconciliations, coder interface, solving complex edits/denials, resolutions with payors, payment plan or financial assistance coordination, identifying problem trends, and communicating with payors. This position has flex hours, employee works 8 hour days anytime between 6:00-5:30 pm.Requirements *CPC or CCS degree required *2 years experience in Medical Insurance Follow Up/Accounts Receivables forPhysician Billing Preferred

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