Business Svcs Rep II, Prof Billing/Collections

About the Role

Under the direct supervision of the Manager, the Billing/Collections representative is responsible for the billing and collecting of all professional claims, in accordance with state and federal regulations and HMNH policies. Compiles and maintains records for services rendered and ensures accurate entries; assists in processing claims for timely reimbursement.

Responsibilities

• Bill and collect all professional claims in accordance with state and federal regulations and HMNH policies
• Compile and maintain records for services rendered and ensure accurate entries
• Assist in processing claims for timely reimbursement

Requirements

• Computer experience mandatory
• Knowledge of all third party reimbursement issues and/or updates related to billing government, and commercial claims
• Knowledge of medical terminology, CPT, ICD10
• Competent in billing compliance
• Ability to accept and adapt to change easily
• Ability to communicate verbally and in writing
• Ability to be a self-starter
• Ability to demonstrate a pleasant voice and good public relations while performing duties
• HMO/PPO knowledge required

Qualifications

• Minimum High School graduate or GED equivalent
• 3 year minimum experience with professional billing in a hospital, medical, and/or health care environment

Pay

$23.00 to $32.49 per hour