Job description

At Ethos, we help/service AHMC hospitals on their revenue cycle objectives. The Medicare Government Representative is responsible for the accurate and timely billing, follow up, and collections of claims to government intermediaries and/or secondary payors. This position performs a variety of duties and responsibilities related to billing and collection for timely and accurate claim submission, resolution on non-payment of accounts, addressing billing questions, reviewing patient accounts, and follow-up. The Medicare Government Representative is expected to maximize cash flow, be familiar with current regulatory requirements, electronic and hard copy billing, and UB04 billing formats

Major Responsibilities/Activities:

• Responsible for assigned accounts and maintains a daily average of 80-100 claims.
• Reviews, corrects, and edits UB04 claim forms for electronic/hard copy claim submission in accordance with department billing policies and Medicare/CMS guidelines
• Communicates errors and/or missing information regarding patient's insurance, charges, coding, etc. to the corresponding departments, billing communication logs, identifies necessary corrections, and resubmits claims returned on electronic rejection reports daily.
• Reviews Direct Data Entry for returned, rejected, and denied claims
• Responsible for timely follow up of Medicare balances, including unpaid claims, review of underpayment, review of denials, and processing appeals.
• Abides by Ethos Management’s Code of Conduct and HIPAA compliance standards.
• Performs other duties as assigned.

Qualifications/Skills &Knowledge Requirements:

• Minimum 1 year of recent hospital insurance billing experience in an automated environment.
• Must be familiar with Medicare's Direct Data Entry system
• Knowledge of Medicare benefits and billing guidelines
• Knowledge of NCCI, LCD requirements
• Proficient in Microsoft Word and Excel
• Knowledge of medical terminology
• Understanding of CPT, ICD10, and HCPCS codes
• High School Diploma or equivalent required

Job Type: Full-time

Pay: $23.00 - $26.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Monday to Friday

Application Question(s):

• Have you completed the following level of education: High school or equivalent?
• Are you able to commute to this job's location?

Experience:

• Medical billing: 1 year (Required)
• Managed Care Billing: 1 year (Required)
• Hospital Billing: 1 year (Required)

Work Location: In person