PBO Claims Clearinghouse Billing Representative, FT, Days

Inspire health. Serve with compassion. Be the difference.

Job Summary

This is a remote position.

Essential Functions

• All team members are expected to be knowledgeable and compliant with Prisma Health's values: Inspire health. Serve with compassion. Be the difference.

• Reviews and corrects billing claim edits, contacts payers, and submits claims via electronic or paper claim submission according to governmental regulations, agency policies, Prisma Health guidelines and timeliness standards.

• Reviews patient accounts transaction history to ensure full understanding of next steps. Documents work activity on the patient accounts according to departmental guidelines.

• Works and monitors electronic work queues daily resolving any outstanding accounts according to departmental guidelines.

• Adheres to policies and procedures as required by Prisma Health and follows all compliant regulatory payer guidance. Ensures all work is compliant with privacy, HIPAA, and regulatory requirements.

• Performs other duties as assigned.

Supervisory/Management Responsibilities

• This is a non-management job that will report to a supervisor, manager, director or executive.

Minimum Requirements

• Education - High School diploma or equivalent OR post-high school diploma/highest degree earned

• Experience - Two (2) years billing, bookkeeping, accounting experience

In Lieu Of

• NA

Required Certifications, Registrations, Licenses

• NA

Knowledge, Skills and Abilities

• Knowledgeable of the job functions required for a Cash Posting Representative, Claims Clearinghouse Representative and a Correspondence Representative.

Work Shift

Location

Facility

Department

Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.