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Billing Representative

Company: Mercy Health Corporation
Location: Janesville
Posted on: December 3, 2019

Job Description:

JOB REQUIREMENTS: ESSENTIAL DUTIES AND RESPONSIBILITIES Verifies all billing information for accuracy which includes contacting patients and/or departments (via phone, email, facsimile, etc.) 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. EOE & AA/M/F/Vet/Disabled. Mercy is an equal employment opportunity employer functioning under Affirmative Action Plans. Equal Opportunity/Affirmative Action Employer ***** OTHER EXPERIENCE AND QUALIFICATIONS: EDUCATION & EXPERIENCE High school diploma or equivalent required. 1 - 2 years billing experience within the medical field preferred. ADDITIONAL REQUIREMENTS Passing the Driver's License Check and/or Credit Check (for those positions requiring). Passing the WI Caregiver Background Check and/or IL Health Care Workers Background Check. Must be able to follow written/oral instructions. ***** APPLICATION INSTRUCTIONS: Apply Online: *************************

Keywords: Mercy Health Corporation, Janesville , Billing Representative, Accounting, Auditing , Janesville, Wisconsin

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