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Overview
CHI Health strives to care for you the way you care for your patients.
We understand you have personal responsibilities outside of your profession and also care about your well-being.
With you in mind, we offer the following benefits to support your work/life balance:
• Health/Dental/Vision Insurance
• Direct Primary Plan (No copay, no deductible, and access to CHI Health provider 24/7)
• Premium Access to our Family Care Program supporting your needs for childcare, pet care, and/or adult dependent care
• Voluntary Protection: Group Accident, Critical Illness, and Identity Theft
• Employee Assistance Program (EAP) for you and your family
• Paid Time Off (PTO)
• Tuition Assistance for career growth and development
• Matching 401(k) and 457(b) Retirement Programs
• Adoption Assistance
• Wellness Programs
• Flexible spending accounts
From primary to specialty care as well as walk-in and virtual services CHI Health Clinic delivers more options and better access so you can spend time on what matters: being healthy. We offer more than 20 specialties and 100 convenient locations; with some clinics offering extended hours.
Responsibilities
This position contributes to the mission of CHI Health ensuring medical supplies and equipment are billed accurately as well as management of patient accounts receivable. This position works collaboratively with RT’s and Healthcare Representatives within the department. Position will also work with CHI Clinics, facilities, and hospitals in the Lincoln Metro area to answer questions about what is covered by healthcare benefits and help to obtain insurance coverage thru means of predetermination and/or preauthorization.
Essential Key Job Responsibilities
• Maintainappropriate documentation of billing practices
• Maintain professional growth and development through assigned and optional seminars and workshops.
• Participation in the development and implementation of department policies and procedures.
• Communicate a professional attitude with other departments.
• Demonstrates work practices consistent with CHI Health and department specific safety, security policies.
• Answer questions about claims asked by patients, staff and/or insurance companies.
• Accounts Receivable processing, mailing, payment posting, document patient activity, and submission to collections when all other avenues are exhausted.
• Research insurance eligibility and coverage, complete any necessary paperwork or submit clinical notes in timely manner to ensure clean claim sent on to insurance.
• Submit manual and electronic insurance claims to third party payers in a timely and accurate manner to ensure filing deadlines are satisfied and accurate payments are received.
• Review claim errors, identify errors and make necessary corrections to resubmit and/or appeal insurance determination.
• Maintain confidentiality according to the HIPAA guidelines and regulations.
• Other duties as assigned by management
Qualifications
Required Education for Staff Job Levels
None required
Required Licensure and Certifications
None required.
Required Minimum Knowledge, Skills and Abilities
Ability to utilize computer processing in day to day activities; strong knowledge of applicable laws, regulations, guidelines and professional standards; good communication skills; strong teamwork skills; must demonstrate personal traits of a high level of motivation; professionalism; trust, and place a high value on treating others with dignity and respect. Proficient in Microsoft Office programs (Excel, Word, Outlook, etc). Knowledge of HCPCS/ICD-10 preferred. Knowledge of DME or professional HCFA billing, accounts receivable, and collections preferred. Ability to perform non-complex mathematical calculations.
PREFERRED Qualifications
High school diploma or GED. A minimum of two years of medical billing experience preferable in a health care environment is desirable. Understanding of medical terminology and disease processes preferred.
