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Responsible for the process of patient account review, correction, adjustment, and filing to third party payers and/or patients. In that regard, must maintain a familiarity as with insurance filing requirements, Title program regulations as they relate to bill and hospital specific A/R system. In that capacity, will also work directly with patients and third party payers as it relates to information distribution.

MINIMUM QUALIFICATIONS :

EDUCATION, CERTIFICATION, AND/OR LICENSURE:

1. High school diploma or equivalent.

PREFERRED QUALIFICATIONS :

EXPERIENCE:

1. Previous hospital billing and/or credit and collection experience preferred.

2. Knowledge of ICD-10 coding or experience.

CORE DUTIES AND RESPONSIBILITIES: The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be constructed as an all-inclusive list of all responsibilities and duties. Other duties may be assigned.

1. Reviews and corrects billing edits prior to submitting claims.

2. Reviews edits to ensure proper billing and verifies edits with the appropriate Department Head, if needed.

3. Maintains a working knowledge of the UB04 and 1500 in relation to how they generate within the hospital electronic billing system.

4. Maintains familiarity with insurances he/she is assigned, taking an active role in learning, researching, and training.

5. Performs at a level which allows the department to reach goals.

6. Works denials thoroughly and timely with little back-log.

7. Works follow-up reports thoroughly within the month.

8. Keeps supervisor aware of any issues.

9. Follows standard precautions at all times.

10. Works with Hospital based electronic medical record to resolve any issues.

11. Performs assigned mail duties.

12. Presents a positive attitude and creates a pleasant working environment for co-workers.

13. Posts copays collected at Medical Offices to vouchers. Maintains unassigned payments.

14. Processes collections accounts.

15. Processes patient and insurance refund documentation.

PHYSICAL REQUIREMENTS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

1. Frequent walking, standing, stooping, kneeling, reaching, pushing, pulling, lifting, grasping, and feeling are necessary body movements utilized in preforming duties throughout the work shift.

2. Visual acuity must be within normal range.

3. Must be able to exert in excess of 50 lbs. of force occasionally, and/or up to 25 pounds of force frequently, and/or up to 10 pounds for force constantly to move objects.

4. Must have manual dexterity to operate keyboards, fax machines, telephones, and other business equipment.

WORKING ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

1. Exposed to high stress and constant interruptions.

2. Normal business office surroundings.

SKILLS AND ABILITIES:

1. Basic computer knowledge.

Additional Job Description:

This is a TEMPORARY position. Applicant will need to be familiar with Allscripts PM.

Scheduled Weekly Hours:

8

Shift:

Days (United States of America)

Exempt/Non-Exempt:

United States of America (Non-Exempt)

Company:

WTZ Wetzel County Hospital

Cost Center:

500 WTZ Administration

Address:

3 East Benjamin Drive

New Martinsville

West Virginia