Patient Accounts - Billing Specialist - Full Time

Wilson Health is looking for a direct hire Billing Specialist for our Patient Accounting Department located in Sidney, Ohio (North Dayton, Ohio) area.

Key

Perks and Benefits :

* Access to Employer Direct Care Clinic. Free medical care and pharmacy services for eligible employees and dependents covered by Wilson Health's medical insurance plan.

* Generous paid time off (PTO) program beginning day one, designed to support work-life balance, rest, and time with family.

* Medical Insurance:
Choose from two High Deductible Health Plan (HDHP) options or a PPO plan, along with Dental and Vision coverage. Benefits begin on the first of the month following your hire date.

* HSA with employer contribution for eligible health plans; FSA for medical and dependent care expenses.

* Company-paid Life Insurance and Long-Term Disability Insurance

* Voluntary Accident, Critical Illness, and employee and dependent Life and AD&D Insurance Industry-leading retirement plan - employer contributions begin day one with no waiting period for participation.

* Tuition Assistance Program

* Free access to an on-site gym, available 24/7, making it easy to prioritize your health and wellness before or after your shift.

* Employees receive a 10% discount on food and beverages at the Wilson Cafeteria, Coffee Bar and Micro Mart

Employment Status:
Full Time (FT=36+ hours)

Working Hours:

40 hours a week (80 hours per pay period) - ONSITE for 6 months, Hybrid remote option available.

Schedule:

Monday - Friday (No Weekend or Holidays)

Shift: 1st shift - FLEXIBLE hours between 6:30am - 5:30pm

Position

Reports to:

Director of Revenue Integrity

Department

Description:

Wilson Health's Patients' Account Department is responsible for handling the hospital billing and collection aspects of the patient's care during the service date (The date/date(s) when care was provided to the patient from the hospital or provider).

Job Summary:

The Billing Specialist is responsible for releasing insurance claims electronically and mails hard copy UB/1500 claims as required.

The Billing Specialist will also follow up on unpaid claims and rebill or appeal claims as indicated.

Essential Duties & Responsibilities:

* Billing of claims through EPIC and Electronic Vendor (Quadax) which requires keeping up to date with Payer requirements and/or edits.

* Prior experience with Medicare facility billing experience required

* Submits claim electronically or hard copy for MSP claims with appropriate information from the primary payer.

* Bills secondary, tertiary, etc. claims electronically or mails the UB/1500 with EOB as required by Payer.

* Monitors claims using the Medicare and or Quadax online system

* Works closely with all departments throughout the hospital regarding charges and/or late charges.

* Responsible for the follow up of submitted claims to primary, secondary, and tertiary payers

* Works the 30 day and out worklist in EMR and contacts Payers via phone or Payer website regarding no pays.

* Appeals claims on behalf of the patient to secure payment or if a claim has been denied for inappropriate reasons. Biller or Collector will follow up on the Appeal.

* Works with Case Management and Medical Records regarding RAC audits, other audits, and inpatient denials.

* Works mail as it applies to the Biller or Collector to secure payment.

* Works closely with Central Scheduling/Registration, Case Management and Medical Records regarding Denials for No Authorizations and/or Medical Necessity to secure appropriate documentation and/or diagnosis to submit a corrected claim or appeal

Other

Skills and Abilities:

* Accurate typing skills, computer keyboard skills and data entry.

* Knowledge of medical terminology,

* CPT and HCPCS codes.

* Calculator skills.

* Ability to work in a highly stressful environment.

* Ability to adapt to change.

* Knowledge of Excel.

* Organization and prioritizing skills.

* Ability to communicate with co-workers.

Qualifications:

* 1+ Year Previous hospital billing experience. Medical terminology and understanding of CPT and ICD 10 codes.

* EHR - Electronic Health Records (EPIC) required

* High school diploma or general education degree (GED)

Mission & Vision & Values:

* Improve the health and wellness of the community by delivering compassionate, quality care.

* Be a trusted, nationally-recognized leader of innovative, collaborative, community health.

* A.S.P.I.R.E - Always serve with professionalism, integrity, respect, and excellence.

EOE (Equal Opportunity Employer)