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November 21

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Logo of Monument Health

Monument Health

Healthcare Insurance • Pharmaceuticals • Wellness

Monument Health is an integrated health care system dedicated to providing patient-centered care across a broad range of medical specialties. With 60 locations, it serves the Black Hills region, offering services from audiology to X-rays, alongside educational resources and community support. Monument Health prioritizes personalized attention and expert medical care, ensuring a positive and welcoming experience for every patient.

1001 - 5000 employees

Founded 1973

⚕️ Healthcare Insurance

💊 Pharmaceuticals

🧘 Wellness

📋 Description

• Perform duties necessary to ensure the proper interpretation, processing, recording, approval and payment of inpatient and outpatient medical claims. • Accurately reviews information for processing claims into a computerized system in accordance with the primary payer specifications and billing guidelines. • Conduct timely follow up of claims. • Use tools provided to track and trend patterns of claim submission issues that might require Compliance and Charge master staff to resolve, or HIPAA transaction code set review. • Research payer requirements and offer suggestions to leadership for claims submission issues. • Maintain and update appropriate system documentation to provide information regarding claim processing to internal or external customers. • Identify unresolved requests of patient responsibility and transfers account to self pay. • Perform duties and provides best customer service using behaviors that demonstrate responsibility and accountability. • Participate in departmental activities related to performance improvement and quality control. • Demonstrates a working knowledge of denial follow up and first level appeals. • All other duties as assigned.

🎯 Requirements

• High School Diploma/GED Equivalent in General Studies • 1+ years of Clerical Experience • 1+ years of Medical Patient Accounts/Financial Services Experience • Bachelors degree in Accounting, Business, Health Related Field • Certified Clinical Account Technician (CCAT) - Accredited University or accredited training professionals • Certified Patient Account Technician (CPAT) - Accredited University or accredited training professionals

🏖️ Benefits

• Supportive work culture • Medical, Vision and Dental Coverage • Retirement Plans, Health Savings Account, and Flexible Spending Account • Instant pay is available for qualifying positions • Paid Time Off Accrual Bank • Opportunities for growth and advancement • Tuition assistance/reimbursement • Excellent pay differentials on qualifying positions • Flexible scheduling

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