TriHealth

  • Cincinnati, OH, United States
TriHealth Cincinnati, OH, USA
Job Description Job Overview: The level II Medical Biller's general responsiblities include assisting the lead medical biller and fellow billing staff in submitting accurate clean claims, ensuring timely follow up. Collaboration with other teams will be needed to ensure denied claims are appealed as needed. Medical Biller II should be cross trained to work different payers to help assist other billing staff. Reviews, investiges, and resolves credit balances. Medical Biller II will ensure the proper documentation in the facility's billing system. Responsible also to provide excellent customer service skills by answering patient and third party questions and/or addressing billing concerns in a timely and professional manner. Job Requirements: High School Degree or GED Billing knowledge that includes: ICD-9, ICD-10, and CPT terminology Epic and Clearing House experience Working knowledge of insurance policies and appeals Consistently meets individual productivity...

TriHealth Cincinnati, OH, USA
Job Description Job Overview: The entry level Medical Biller's general responsiblities include ensuring timely claim submission, follow up with no response from payers, payer rejections, correspondence, and contract variences and appealing denials based on HB or PB requirments. The biller must ensure proper account documentation in the facility's billing system. Responsible also to provide excellent customer service skills by answering patient and third party questions and/or addressing billing concerns in a timely and professional manner. Reviews, investigates, and resolves credit balances. Job Requirements: High School Degree or GED Billing and Payer knowledge of Hospital and/or Physician Billing Working knowledge of ICD-9, ICD-10, and CPT terminology 1-2 years experience in relted field Job Responsibilities: Other job-related information: Working Conditions: Climbing - Rarely Concentrating - Consistently Continous Learning - Frequently Hearing:...

TriHealth Cincinnati, OH, USA
Job Description Job Overview: Reviews and interprets clinical documentation to assign accurate and complete codes, modifiers, MSDRG's, APR-DRG's, SOI, ROM, POA indicators, discharge dispositions and any other clinical data elements required for appropriate reimbursement. Understands and applies reimbursement processes under federal compliance guidelines. Abstracts demographic and clinical data into hospital health information system(s) such as HDM, Epic, or other currently in use. Performs and responds to data quality checks and payer/claims issues. One may specialize in one or more of the standard functions. Specific assignments will vary from day to day based on the needs of the department. Job Requirements: Currently enrolled in an approved program for specific field of study in Within six months of hire, RHIT/RHIA and/or CCS Continuing education pursued in accord with requirements of the accrediting bodies CPC/CCA may be substituted at the hiring manager's discretion...