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Employment Type:
Full time
Job Category:
Medicare Billing Specialist
(This job is no longer available)
Hospice of Spokane | Spokane, WA
Grad Date

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Job Description

Medicare Billing Specialist

Collects and enters the information necessary for insurance claims processing, Completes NOE/81A and related documents and submissions, Ensures claim information is complete and accurate. Submits insurance claims to a clearinghouse, or individual insurance companies electronically Follows up with insurance company on unpaid or rejected claims. Prepares appeal letters to insurance carrier when not in agreement with a claim denial. Reviews account and payor source agings and unbilled services reports and performs follow up as appropriate. Daily downloads assigned insurance EOBs and R.A.s and manually or electronically posts information to the patient record and to the GL. Verify client benefit eligibility and coverage. Uploads supporting documents to the EHR system.

Desired qualifications include:

  • Comprehensive knowledge of Medicare health services billing regulations
  • A minimum of two recent (within 12 months) years of billing Medicare claims through an electronic system
  • Recent experience with downloading and uploading external and internal electronic files and use electronic filing systems
  • Intermediate Excel skills
  • Recent experience posting insurance payment RA's into an electronic billing system
  • Also, experience manually posting insurance payment RAs into an electronic healthcare billing system
  • Ability to run, save and use electronic reports from a variety of systems
  • High degree of accuracy, problem-solving skills, strong initiative 

We are an Equal Employment Opportunity (EEO) employer and does not discriminate on the basis of race, color, national origin, religion, gender, age, veteran status, political affiliation, sexual orientation, marital status or disability (in compliance with the Americans with Disabilities Act) with respect to employment opportunities.

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