GENERAL SUMMARY Under the direction of the Insurance Follow up Supervisor, is responsible for reducing and managing the A/R by reviewing and resolving unpaid claims related to clinical/facility charges. Daily workflow of denials and no response from insurance payers for HCFA/UBO4, chart notes/faxes and appeals worked in a timely manner to ensure claims are processed according to payer fee schedules and timely filing appeal guidelines are followed. Resolve insurance billing issues to reduce account receivable days outstanding, increase cash flow and reduce potential bad debt. Communicate and collaborate with leadership to ensure third party payer issues re resolved in a timely manner. Accurately resubmit claims for payment to prevent and reduce further rejections/denials. Actively communicate common denials/rejections to help streamline and improve claims submission. Appropriately monitor assigned accounts to ensure accurate and timely payment is received, while contributing to the overall health of Boys Town National Research Hospital (BTNRH) A/R.
1) High school diploma or equivalent, required, 2) minimum of one year experience in a medical billing environment, preferred, 3) understanding of office procedures (problem solving and making recommendations) and prior proficient use of a personal computer to include Microsoft Office applications (Outlook, Word, Excel), 4) working knowledge of third party payer reimbursement guidelines (CPT, HCPC and ICD-9 & ICD-10 coding) and HCFA 1500 & UB04 billing, and their application to services rendered, and 5) excellent telephone skills and typing speed minimum of 40 wpm.
Boys Town National Research Hospital is a tobacco free campus. This advertisement describes the general nature of work to be performed and does not include an exhaustive list of all duties, skills, or abilities required. Boys Town is an equal employment opportunity employer and participates in the E-Verify program. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status. To request a disability-related accommodation in the application process, contact us at 1-877-639-6003.
Internal Number: 005596
About Boys Town National Research Hospital
Since the opening of Boys Town National Research Hospital in 1977, the hospital has been internationally recognized as a leader in clinical and research programs focusing on childhood deafness, visual impairment and related communication disorders. We have developed national medical programs that are now instituted in hospitals and clinics across the country.
Today, the hospital offers a broad range of clinical services, including ear, nose and throat services at the Boys Town Ear, Nose and Throat Institute, general pediatric care with Boys Town Pediatrics, and orthopaedic, internal medicine, pediatric gastroenterology, allergy, asthma, pediatric pulmonology, behavioral health, audiological and ophthalmologic care.
The hospital has expanded to offer surgical and clinical services at two Omaha locations: 555 North 30th Street in Omaha and 14000 Hospital Road on the campus of Boys Town, Nebraska.
Boys Town National Research Hospital has assembled national leaders in research who are making important contributions in the areas of genetics, hearing, language, vision and speech disorders. Applying these findings with new technologies, distance learning and the exploration of ne...w research frontiers, the opportunities for new medical diagnoses, evaluation and treatment discoveries are endless.
Accredited by The Joint Commission, Boys Town National Research Hospital is dedicated to providing leading edge clinical care, pioneering translational research and improving the lives of children and their families through applied technology and educational outreach programs. The hospital annually serves more than 40,000 children and families from across the United States.