Claims Processor – UB-04, HCFA 1500

Job not on LinkedIn

🕒 April 14

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

TruBridge

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

⚕️ Healthcare Insurance

☁️ SaaS

💸 Finance

Healthcare Insurance • SaaS • Finance

TruBridge is a healthcare solutions company specializing in revenue cycle management, electronic health records, patient access and engagement, and enterprise resource planning for healthcare providers. The company offers comprehensive, customizable services to hospitals, clinics, and ambulatory care facilities, aiming to improve financial health and operational efficiency. TruBridge's solutions include coding technology services, population health and data management, and outsourced revenue cycle management services. Their focus on data-driven insights and innovative products helps eliminate financial and operational obstacles, laying a foundation for long-term success in the healthcare industry.

📋 Description

• Prepares and submits hospital, hospital-based physician and clinic claims to third-party insurance carriers either electronically or by hard copy billing • Secures needed medical documentation required or requested by third party insurances • Follows up with third-party insurance carriers on unpaid claims till claims are paid or only self-pay balance remains • Processes rejections by either making accounts private or correcting any billing error and resubmitting claims to third-party insurance carriers • Responsible for consistently meeting production and quality assurance standards • Maintains quality customer service by following company policies and procedures as well as policies and procedures specific to each customer • May regularly be asked to help with team projects • Ensure all claims are submitted daily with a goal of zero errors • Timely follow up on insurance claim status • Reading and interpreting an EOB (Explanation of Benefits) • Respond to inquiries by insurance companies • Denial Management • Meet with Billing Manager/Supervisor to discuss and resolve reimbursement issues or billing obstacles • Review late charge reports and file corrected claims or write off charges as per client policy • Review reports identifying readmissions or overlapping service dates and ignore, merge, or split-bill according to the payer’s rules and the client’s policy • Review credit reports, resolve credits belonging to a payer when able, and submit a listing of credits to the facility as required by the payer.

🎯 Requirements

• 3 years of recent Critical Access or Acute Care facility and professional claim billing • Meditech E.H.R Experience Required • Computer skills • Experience in CPT and ICD-10 coding • Familiarity with medical terminology • Ability to communicate with various insurance payers • Experience in filing claim appeals with insurance companies to ensure maximum reimbursement • Responsible use of confidential information • Strong written and verbal skills • Ability to multi-task.

🏖️ Benefits

• Protects customer information by keeping all information confidential • Updates job knowledge by participating in company offered education opportunities