Tyler County Hospital
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Medicare & Medicaid Billing Assistant

Posted: 1/30/1918

PRIMARY PURPOSE:

TYLER COUNTY HOSPITAL DISTRICT

 JOB DESCRIPTION (01/23/17)

 

JOB TITLE:                   Medicare/Medicaid Billing Clerk Assistant

REPORTS TO:              Medicare/Medicaid Supervisor

JOB SUMMARY:          The Medicare/Medicaid Billing Clerk Assistant will perform clerical duties relative to the accounts receivable function and the processing of Medicare and Medicaid claims. Assists the Medicare/Medicaid Billing Supervisor with CMS Recovery Audit Contractor (RAC) processing and record keeping.

ESSENTIAL TASKS/DUTIES (This list is a summary only and other tasks may be assigned):

  1. Prepares and transmits Medicare/Medicaid claims.

  2. Checks Insurance Clearing House reports daily and verifies accuracy of processing.

  3. Researches, corrects and refiles unpaid or rejected claims.    

  4. Posts payments and adjustments.

  5. Assists with claims appeals process.

  6. Assists with filing of Remittance Advices, Remittance and Status Reports and correspondence.

  7. Researches credit balances.

  8. Assists with RAC processing, appeals, deadlines, reporting and related spreadsheets.

 

 

 

 

QUALIFICATIONS:

Education/Certification:

  1. Must have a High School diploma or equivalent.
  2. One year medical billing or similar business office experience required.  Preferably Hospital experience. 

  3. Working knowledge of computers, Microsoft software including Excel and Word required.

  4. Medicare/Medicaid HMO experience preferred.

  5. Must demonstrate effective verbal and written communication skills as well as strong analytical and organizational skills.