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Title

Hospital Claim Billing Associate 

EOE Statement We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status or any other characteristic protected by law.  
Description

We're Hiring!!

The Biller will be responsible for billing medical claims (UB04 and CMS 1500 forms) for reimbursement to various health care payers. The primary focus of the Biller is to review claim forms for accuracy and completeness prior to billing.

 

ORGANIZATIONAL PLACEMENT:

Typically Reports To: Project Manager

Typical Reports:

 

 

Principal Duties and Responsibilities:

  • Billing and resubmitting claims
  • Retrieving necessary documents for billing
  • Identifying issues with claim forms
  • Following up on claims
  • Coordinating with teams spread across various geographic locations
  • Posting adjustments and resolving credit balances
  • Resolving rejections and denials through corrections and appeals

 

The above statements are intended to indicate the general nature and level of work being performed by employees within this classification.  They are not intended to be an exhaustive list of all responsibilities, duties and skills required of employees assigned to this job.  Employees in this job may perform other duties as assigned.  In addition to the above, all HGS employees are expected to:

* Promote teamwork and cooperative effort.  * Help train and give guidance to other HGS employees.  * Maintain a clean, safe, and unobstructed work area, and practice good safety habits.  * Provide internal and external customers with the highest quality service.

 

 

 

 

Minimum jOB Requirements: (Education, Experience, Skills)

  • 2 or 4-year university degree, with at least 1 year of hospital billing and/or Medicare/Medicaid claim resolution experience OR high school diploma or general equivalency diploma with 1-3 years of hospital billing and/or Medicare/Medicaid claim resolution experience
  • Medical Billing and/or Coding certification preferred
  • Understanding of revenue cycle process for healthcare providers
  • Sound understanding of bill form locators and billing policies
  • Strong knowledge of Microsoft Office, Excel, and Word
  • Able to communicate verbally and in writing in fluent English
  • Excellent communication skills and telephone skills
  • Ability to navigate through different computer systems
  • Ability to research documents and find information
  • Must be flexible with the ability to adapt to changes quickly and think conceptually
  • Solid problem solving skills to resolve complex customer inquiries.
 
Position Requirements

COMPETENCIES:

Competency/Definition

Customer Orientation

Agent understands the impact of individual performance as it relates to the client program and to meeting/improving targets; understands the client needs and expectations; responds to requests effectively and on time; refers complex questions to a higher decision making level; meets customer needs in a respectful, helpful and responsive manner; works with the team to meet objectives; is open to change and new information.

 

Communication Skills

Listens and presents appropriate information in a clear and concise manner, both orally and written; few grammatical errors; able to establish two way communication with Team Leaders.

 

Work Ethic

Ability to direct oneself towards meeting ones deliverables; clearly sets a goal and works towards achieving it; clarifies expectation about what/how things need to be done before starting work; takes ownership for work; is open to new ideas; complies with rules and processes; appropriate dress; demonstrates behaviors consistent with the organization’s values; treats others with respect; understand and follows ethical guidelines; regularly shares expertise with team members to support continuous learning and improvement; works well with others, promotes teamwork.

 

Job Knowledge

Demonstrates basic knowledge and ability to use various applications/tools related to the function; is aware of metric goals; has the knowledge of policies, procedures and regulatory compliance; can identify problems/issues and tries to improve this based on program knowledge; requests help to understand complex issues; identifies problems and escalates accordingly.

 
Exempt/Non-Exempt Non-Exempt  
Location HGS Healthcare Gran Vista  
About the Organization About Hinduja Global Solutions (HGS):
A global leader in business process management (BPM) and optimizing the customer experience lifecycle, HGS is helping to make its clients more competitive every day. HGS combines technology-powered services in automation, analytics and digital with domain expertise focusing on back office processing, contact centers and HRO solutions to deliver transformational impact to clients. Part of the multi-billion dollar conglomerate Hinduja Group, HGS takes a 'globally local' approach, with over 42,371 employees across 72 delivery centers (as on 30th June 2019) in seven countries making a difference to some of the world's leading brands across nine key verticals. For the year ended March 2019, HGS had revenue of $689 million.
 

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