Description: Job Description:Perot Systems Corporation is a worldwide provider of information technology services and business solutions to a broad range of clients. We are currently looking for a Third Party Insurance Billing Specialist to join our team in Bowling Green, KY.Job Summary:Performs tasks required to ensure the timely and accurate submission of insurance claims to all third party payers and documents billing activity in the patient accounting system.Job Responsibilities:Works daily electronic billing file and submits insurance claims to third party payersReviews daily edit reports from the hospital billing system and makes necessary corrections to allow electronic submissionReviews error reports from electronic payers; identifies errors and makes appropriate corrections to ensure accurate claim submissionMonitors claim rejections for trends and issues and reports findings to supervisorPrepares and submits manual insurance claims to third party payers who do not accept electronic claims or who require special handlingReviews all claims for accuracyCoordinates medical record requests as neededDocuments billing activity on the patient accountEnsures hospital compliance with all state and federal billing regulations and reports any suspected compliance issues to the Medical Billing SupervisorWorks with supervision, management and the patient accounting staff to improve processes, increase accuracy, create efficiencies and achieve the overall goals of the departmentAs requested, participates in general or special assignmentsAttends required training and completes on-line training as assignedRequired Skills:1+ years of healthcare receivables experienceDemonstrated knowledge of third party billing proceduresKnowledge of claims review and analysisKnowledge of Medicare, Medicaid and HMO contractsDemonstrated skill and typing ability sufficient to function easily in a variety of hospital patient accounting and billing systems (SMARTS, FISS, Epic, ePremis)Good oral and written communication skills Good organization and time management skills Computer literate Ability to read, write and follow directions Ability to establish priorities effectively Self-directed and capable of working without direct supervisionAbility to work well with othersDependable in both production and attendanceMinimum Educational Requirements:High school diploma or equivalentPerot Systems is committed to Equal Employment Opportunity. It is the policy of Perot Systems Corporation to encourage and support equal employment opportunity for all Associates and applicants for employment without regard to sex, race, color, ancestry, religious creed, national origin, pregnancy, physical disability, mental disability, medical condition, age, marital status, political affiliation, sexual orientation, disabled veteran or Vietnam era veteran status.
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