Grandview Medical Center

  • Vestavia Hills, AL, United States
Grandview Medical Center Birmingham, AL, USA
The primary function of this position is to prepare and submit claims and statements to third-party payers and guarantors.Responsible for certain coding functions and maintaining accounts receivables. Eligible for 401(k). Schedule: PRN days, must work 4 shifts within a 6 week period. Essential Duties and Responsibilities include the following.Other duties may be assigned. Process claims daily, provide all required attachments as appropriate Submits all primary, secondary, and tertiary claims electronically to the clearinghouse Corrects unbilled claim edits as appropriate to ensure claims final bill Understands and abides by all CMS billing compliance regulations Understands ICD9/10 and CPT/HCPCS coding, CCI edits, APC's as well as third party payor billing requirements Appends bilateral, multiple procedure, and special requirement modifiers appropriately Verifies accuracy of insurance payments and adjustments received/posted Follow-up on insurance claims within 30...

Grandview Medical Center Birmingham, AL, USA
The primary function of this position is to prepare and submit claims and statements to third-party payers and guarantors.Responsible for certain coding functions and maintaining accounts receivables. Full time daysEssential Duties and Responsibilities include the following.Other duties may be assigned. Process claims daily, provide all required attachments as appropriateSubmits all primary, secondary, and tertiary claims electronically to the clearinghouseCorrects unbilled claim edits as appropriate to ensure claims final billUnderstands and abides by all CMS billing compliance regulationsUnderstands ICD9/10 and CPT/HCPCS coding, CCI edits, APC's as well as third party payor billing requirementsAppends bilateral, multiple procedure, and special requirement modifiers appropriatelyVerifies accuracy of insurance payments and adjustments received/postedFollow-up on insurance claims within 30 days of billing for commercial, 21 days for government payorsRespond to all billing related...