Commercial Biller and Analyst - Patient Financial Services

Job Summary:

Bills Commercial and non-government claims for Anderson Hospital, Community Hospital of Staunton, Maryville Imaging, and Anderson Home Care. Also bills Medicare Advantage, Tricare, and Central Billing Office claims. Works claim edits in Meditech and Claims Management (XClaim); and processes late and lost charges.

Job Responsibilities:

Bills all Commercial and other non-government claims, regardless of patient status or bill type.

Bills all Medicare Advantage, Tricare, and Central Billing Office claims, regardless of patient status or bill type.

Bills claims accurately and in compliance with contractual requirements, as well as federal and state regulations.

Reviews Meditech account checks and resolves issues to expedite claim payment.

Reviews and analyzes all Commercial and other assigned claim group late and lost charges and determine necessary action to bill or adjust charges in compliance with hospital policy.

Participates in department education regarding payor changes and standards, and maintains a current knowledge of Commercial payor billing requirements.

Identifies and recommends opportunities for process improvement in Patient Financial Services, or other Revenue Cycle departments, as related to the PFS processes.

Education Requirements and Other Requirements:

Education Level:High school diploma or equivalent.

Certification/Licensure: N/AExperience Requirements:

Previous experience in Commercial billing preferred.

Previous experience in hospital patient accounts experience preferred.

Office procedures and keyboarding minimum 50 wpm preferred.

Microsoft Word and Excel experience helpful

Other computer and organizational skills preferred.

Meditech experience helpful.