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Alaska Heart Institute

Billing Specialist III

Alaska Heart Institute, Anchorage, Alaska, United States, 99508


JOB TITLE: Billing Specialist III

Increase your chances of an interview by reading the following overview of this role before making an application.

DEPARTMENT: Business Office

GENERAL SUMMARY OF DUTIES: Responsible for filing and tracking insurance claims for the assigned alpha split. Work Insurance and Patient Aging for complete resolution of accounts. Successfully receiving payment on all assigned claims through timely claim resolution, which includes researching and resolving insurance claim disputes, providing corrected billing, and submitting appeals. Initiative to thoroughly understand all AHI services is strongly recommended.

ESSENTIAL FUNCTIONS:

Stay current with coding and billing guidelines for all and each payer, including but not limited to CMS, Noridian Medicare, VA, Triwest, Tricare, Aetna, Premera, Cigna and other third-party payersProfessional and HIPAA compliant interactions with patients, insurance companies, Alaska Heart & Vascular Institute (AHVI) providers and staff, outside healthcare professionals and other agenciesWork the clearinghouse rejections in prompt mannerPaper claim submission with appropriate EOBs and any other required paperworkComplete and thorough research of all claims subject to insurance dispute or reviewConsistent follow through of aging reports to ensure timely payment by payersConcise yet detailed and accurate notes in accounts and/or tickets for efficient communication with coworkersAccurate information in accounts and tickets to maintain adequate audit trail

PAY RANGE:$23-33/HR dependent upon experience and education.

EMPLOYEE BENEFITS:

MedicalDentalVisionColonial Life Elective BenefitsLife InsuranceProfit Sharing 401KHSAFSAEmployee Assistance ProgramWellness ProgramPTO- starting at up to 5.84 hours per pay period (increases with years of service)8 paid holidays per yearFMLA

This job description is intended to provide basic guidelines for meeting job requirements. Responsibilities, knowledge, skills, abilities, and working conditions may change as needs evolve.

Education:Preferred: Some college or continuing education preferred.Minimum: High School diploma

Experience:Minimum: Two years of experience in medical billing office with emphasis on insurance research and claim follow-up

Certificate/License: Certified Professional Biller (CPB) or Certified Coder (CPC) required from AAPC