Job description
Why work for Nebraska Methodist Health System?
At Nebraska Methodist Health System, we focus on providing exceptional care to the communities we serve and people we employ. We call it The Meaning of Care – a culture that has and will continue to set us apart. It’s helping families grow by making each delivery special, conveying a difficult diagnosis with a compassionate touch, going above and beyond for a patient’s needs, or giving a high five when a patient beats a disease or conquers a personal health challenge. We offer competitive pay, excellent benefits and a great work environment where all employees are valued! Most importantly, our employees are part of a team that makes a real difference in the communities we live and work in.
At Nebraska Methodist Health System, we focus on providing exceptional care to the communities we serve and people we employ. We call it The Meaning of Care – a culture that has and will continue to set us apart. It’s helping families grow by making each delivery special, conveying a difficult diagnosis with a compassionate touch, going above and beyond for a patient’s needs, or giving a high five when a patient beats a disease or conquers a personal health challenge. We offer competitive pay, excellent benefits and a great work environment where all employees are valued! Most importantly, our employees are part of a team that makes a real difference in the communities we live and work in.
Job Summary:
Responsible for review of accounts in collection
Responsibilities:
Essential Functions I
Audit all credit balance patient accounts to determine cause of credit balance and determine the correct resolution; must balance the account and prove the ending balance with detailed notes.
Requires ability to do math calculations.
Involves working with numbers, detail work and research when credit involves subrogation or coordination of benefits.
Research HCFA 1500 and HCFA 1450 to determine correct contract reimbursement using many PPO contracts.
Requires ability to communicate effectively with patients, employees and 3rd party payers.
Able to correspond via mail, telephone and email.
Working closely with all Business Office departments.
Review of GSB accounts.
Works Medicare quarterly credit balance report.
Schedule:
8 hr days - flex schedule available
Job Description:
Job Requirements
Education
- Participates in mandatory in services and continuing education programs as mandated by policies and procedures/external agencies and as directed by supervisor.
- High School Diploma or General Educational Development (G.E.D.) required.
Experience
- Minimum of 2-3 years experience working for a 3rd party payor or health care provider is preferred.
- Six months previous HCFA 1500 and HCFA 1450 billing experience preferred.
- ICD9 and CPT4 coding preferred.
- Prior use of computer required.
License/Certifications
- N/A
Skills/Knowledge/Abilities
- Requires ability to communicate effectively with patients, employees, and third party payers.
- Requires ability to perform math calculations.
- Requires the ability to audit credit balance accounts to correct resolution and must balance the account and prove the ending balance with detailed notes.
- Knowledge of DRG reimbursement and outpatient may include ASC grouper, ER, and outpatient reimbursement.
- Ability to correspond via mail, telephone, and e-mail.
- Requires the ability to type 30 wpm and operate general office machines.
- Basic working knowledge of CMS.
Physical Requirements
Weight Demands
- Light Work - Exerting up to 20 pounds of force.
Physical Activity
- Occasionally Performed (1%-33%):
- Balancing
- Climbing
- Carrying
- Crawling
- Crouching
- Distinguish colors
- Kneeling
- Lifting
- Pulling/Pushing
- Reaching
- Standing
- Stooping/bending
- Twisting
- Walking
- Frequently Performed (34%-66%):
- Hearing
- Repetitive Motions
- Seeing/Visual
- Speaking/talking
- Constantly Performed (67%-100%):
- Fingering/Touching
- Grasping
- Keyboarding/typing
- Sitting
Job Hazards
- Not Related:
- Biological agents (primary air born and blood born viruses) (Jobs with Patient contact) (BBF)
- Physical hazards (noise, temperature, lighting, wet floors, outdoors, sharps) (more than ordinary office environment)
- Equipment/Machinery/Tools
- Explosives (pressurized gas)
- Electrical Shock/Static
- Radiation Alpha, Beta and Gamma (particles such as X-ray, Cat Scan, Gamma Knife, etc)
- Radiation Non-Ionizing (Ultraviolet, visible light, infrared and microwaves that causes injuries to tissue or thermal or photochemical means)
- Rare (1-33%):
- Chemical agents (Toxic, Corrosive, Flammable, Latex)
- Mechanical moving parts/vibrations
About Methodist:
Nebraska Methodist Health System is made up of four hospitals in Nebraska and southwest Iowa, more than 30 clinic locations, a nursing and allied health college, and a medical supply distributorship and central laundry facility. From the day Methodist Hospital was chartered in 1891, service to our communities has been a top priority. Financial assistance, health education, outreach to our diverse communities and populations, and other community benefit activities have always been central to our mission.
Nebraska Methodist Health System is an Affirmative Action/Equal Opportunity Employer and does not discriminate on the basis of race, color, religion, sex, age, national origin, disability, veteran status, sexual orientation, gender identity, or any other classification protected by Federal, state or local law.
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