The University of Kansas Health System

  • Medicare Biller

    Department Billing
    Shift Days - PRN
    Requisition ID
    2020-20792
    Position Location
    Great Bend Campus
    City
    Great Bend
    Category
    Administrative & Clerical
  • Position Summary

    JOB SUMMARY

    Under the supervision of the Billing Manager, the Medical Biller is primarily responsible for completing the billing activities. The right candidate will possess a strong knowledge of medical claims submission, in an office that uses more manual systems than automated. Must have the ability to work efficiently both independently and as a team, with the foresight to assure all information on claims is correct and clean. The UKHS billing office is a fast paced environment and staff must be committed to producing the highest quality of work. Looking for someone with an outgoing and “can do” attitude. Candidate should be self-motivated and up for the challenge of getting the job done.

    Responsibilities

     

    Major Duties:

    • Bill and post revenue payments/charges to patient’s accounts and insurance payors
    • Review and audit patient bills for accuracy and completeness and obtain any incomplete or missing billing information
    • Obtain authorizations as appropriate.
    • Ensure verification of eligibility and payor benefits
    • Prepare, review, and transmit claims using automated systems and manual paper claim process
    • Knowledge of insurance guidelines, including HMO, PPO, Medicare, and state Medicaid
    • Follow up on unpaid claims within specified billing cycle timeframe
    • Validate insurance payment for accuracy and compliance based on contractual terms
    • Evaluate and investigate payor matters for any discrepancy in payments as necessary
    • Identify and bill secondary payors
    • Follow-up on all accounts with payor or patient
    • Follow-up on payor specific appeals and denial of claims.
    • Respond to all patient or insurance telephone inquiries to ensure timely reimbursement.
    • Update cash spreadsheet, generate collection reports and ensure compliant collection efforts interpreting the explanation for benefits (EOB)
    • Other duties as assigned

    Qualifications

    1. Education and/or Relevant Experience/Qualifications

     

    Required

    Preferred

    Credential required:

    Education

    Certificate, license or registration

    Experience

    • High school diploma or equivalent
    • 2 years of of clerical experience required.

     

    • 1+ years of medical billing experience
    • Experience billing professional and physicians’ charges to insurance companies
    • Experience reading electronic claim files
    • Knowledge and competency to use medical claims clearinghouse system
    • Possess strong organizational and follow up skills.
    • Familiarity with HCFA 1500 & UB-04

     

    Primary source of verification

     

     

    Literacy requirements (read, write and speak English)

    Commands advanced communication skills with various levels of professionals within multiple media/formats

     

    Language requirements

     

     

    Others (Driving, computer skills, etc.)

     Proficient on Microsoft Applications

    Proficient in Quality Improvement Techniques and Lean methodologies

     

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