Uncommon Life | St. Joseph, MO

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Medical Biller

Mosaic Life Care

Mosaic Life Care

St Joseph, MO, USA
Posted on Thursday, June 6, 2024

Mosaic Life Care is a health care system in northwest Missouri. With a vision of transforming community health by being a life-care innovator, Mosaic places the holistic needs of patients first by providing the right care at the right time and place, offering high value and quality health care.

Mosaic has a wide array of benefits to meet each employee’s individual needs. Our benefits were designed by listening to people just like you. Mosaic also offers several perks with a focus on ensuring our employees feel valued, including concierge services, employee lounge, wellness programs, free covered parking, free on-site and virtual health clinics and many more. When paired with compensation and recognition, it is what continues to make us the employer of choice for employees at any stage of their journey.

Details
  • Medical Biller
  • Specialized Billing
  • Full Time Status
  • Day Shift
  • Pay: $16.15 - $21.81 / hour
Summary
  • The Medical Biller's general responsibilities include accurately billing claims, ensuring timely reimbursement from various third-party payers and patients, and confirming proper documentation is occurring in the facility's billing system and pursuing follow-up efforts on aged accounts under the supervision of the lead medical biller and departmental leaders. This role is responsible for collaborating with ancillary departments and third-party payers on efforts related to follow-up, denials, and appeals.
Duties
  • Works daily electronic billing file and submits insurance claims to third-party payers
  • Reviews, evaluates, and forwards manual patient account statements to payers that do not accept electronic claims or that require special handling
  • Assists with receipt of and correspondence related EOBs, payer notices, and payer audits/record reviews
  • Monitors bill holds, payer rejections and electronic payers' error reports and coordinates with other departments to resolve issues and facilitate timely claim submission
  • Works with other departments to resolve questions related to medical codes, modifiers, and/or other elements present on the claim form
  • Performs follow up to resolved aged claims, and documents all reasons for reimbursement delays as well as actions taken within the patient accounting system ensuring all is appropriately documented in system
  • Regularly evaluates denials to determine if follow up action is necessary and initiates the appeals process
  • Notes denials trends, and informs the lead biller and/or department manager of findings to mitigate future claims rejections
  • Acquires and maintains a general understanding of regulations affecting billing practices and disseminates knowledge to departmental staff; reports any suspected compliance issues
  • Reviews, investigates, and resolves credit balances
  • Performs all other duties as assigned by departmental leaders
Qualifications
H.S. Diploma Required.

Associate's Degree Preferred.

2-Years of customer service and / or business office experience, ideally in medical setting preferred.