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Community Health Systems, Inc.

Billing Specialist 1

Community Health Systems, Inc. - Fort Smith, AR

Billing Specialist 1

Community Health Systems

Fort Smith

AR

Job #674074380

Description:

ESSENTIAL JOB FUNCTIONS

· Bills all primary and secondary insurance claims in a timely and accurate manner

· Demonstrates working knowledge of all appropriate billing forms, UB04, 1500 or state specified forms

· Demonstrates working knowledge of the electronic billing system with and understanding of edits and reports

· Working knowledge of federal, state, local and intermediary specific billing requirements to ensure appropriate authorizations are completed and/or notifies appropriate person of missing or incomplete billing requirements and follows up in a timely manner

· Audits each bill/account for charges, duplications and overlapped accounts before billing, making any necessary adjustments and documenting appropriately.

· Resolves claim processing issues on a timely basis by reviewing claim inventories and taking appropriate action

· Ensures accurate and complete clean claim submission for both paper and electronic claims in a timely manner

· Maintains currency in regards to methods of billing, laws, or hospital rules relating to insurance claims and electronic submission claims

· Completes the SSI daily balancing to completion each day

· Communicates timely and in a professional manner with the Billing Services Manager for any issues or billing delays identified

· Communicates with the Billing Service Manager for any charging trends or edit trends and provide examples and education to other departments (such as ancillary, patient access) to reduce errors

· Responsible for maintaining performance standards that ensure the department is operating at peak proficiency and that established goals are consistently being met.

· Work is performed under tight deadlines.

· Maintaining current knowledge and understanding of government rules, regulations.

· Ability to work with technology necessary to complete job effectively. This includes, but is not limited to, SSI, phone technology, PULSE/DAR products, eligibility tools, claim status, and scanning technology.

· Ability to perform all other duties as assigned or requested.

Qualifications

EDUCATION, SKILLS & EXPERIENCE:

Education:

High School graduate or equivalent

Experience:

Minimum one (1) year billing experience in a medical facility, ambulatory surgery facility, or acute-care hospital

Knowledge of CPT, HCPCS, ICD-9 and medical terminology

Administrative Skills:

Excellent interpersonal skills required to communicate with direct staff and internal/external customers

Must possess excellent time management and organizational skills

Demonstrated critical thinking, creativity, problem solving and decision-making skills

Job:

Credit & Collection

Organization:

Shared Services Center - Fort Smith

Location:

AR-Fort Smith

Requisition ID:

1827336

Updated 05/26/2018

25 days 13 hours ago

Community Health Systems, Inc.

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Billing Specialist 1 Community Health Systems, Inc. - Fort Smith, AR, United States

   

Location: Fort Smith, AR

Company Profile:
Community Health Systems is founded with the first purchase of a hospital in May 1985. The second hospital purchase took place soon thereafter in January 1986. 1991: The company issues its initial public offering. June 1996: An affiliate of Forstmann Little & Co. acquires the company in a $1.1 billion leveraged buyout. Month 1997: Wayne T. Smith is recruited as President and Chief Executive Officer, adding Chairman of the Board Responsibilities in 2001. His appointment as CEO begins a period of exponential growth through acquisitions and improved operations. June 2000: Community Health Systems, Inc. is taken public for the second time on the New York Stock Exchange trading under the symbol CYH with an initial offering price of $13 per share. July 2007: Community Health Systems, Inc. completes the acquisition of Triad Hospitals, Inc. adding more than 50 hospitals and nearly doubling the size of the organization. The acquisition includes subsidiary Quorum Health Resources, LLC (QHR), a hospital management and consulting company with approximately 150 independent community hospital clients. January 2014: Community Health Systems, Inc. completes the acquisition of Health Management Associates, Inc., adding approximately 70 hospitals to the organization.