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Kalispell Regional Healthcare Billing Representative III - Kalispell Medical Equipment in Kalispell, Montana

Overview

At Kalispell Regional Healthcare, our mission is to improve the health, comfort, and life of those we serve. We believe in a better future for healthcare. With more than 4,000 employees, we are the largest private employer in the Flathead Valley. As we continue to grow, we look for people dedicated to service and quality.

Job Objective: Performs all duties in regard to Medical Billing Accounts Receivable Management. Posts charges, payments, and adjustments. Familiar with KME equipment and supplies. Knowledge of insurance and reimbursement. Performs all collection duties as policy and procedure dictate.

Responsibilities

  1. *Responsible for all Medicare, Medicaid, and Case Management Insurance denials. Will work closely with billing supervisor to ensure the denials are worked timely.

  2. *Responsible for all insurance appeals. Will work with specialty billing representatives to ensure complete and accurate appeals. Will monitor and track current outstanding appeals to ensure they are processed timely and correctly.

  3. *Functions as an advocate for KME patients, answering questions over the phone and in person; assists other billing representatives when needed.

  4. *Posts Medicaid and Case Management weekly Electronic Remittance payment batches in billing software.

  5. *Billing specialist for Urological, Wound Care, Ostomy, and Breast Prosthesis. This includes pre-billing medical records certification, and order confirmation.

  6. *Responsible for working bills on hold report and open sales order report for previous billing specialist categories on a monthly basis.

  7. *Responsible for working Medicare, Medicaid, and Case Management aging reports on a monthly basis ensuring timely claim filing and payment.

  8. *Works with Case Management as the main point of contact, providing quotes and any other help needed to get equipment authorized. Tracks authorizations to ensure proper billing and payment

Qualifications

  1. Minimum one (1) year work experience in medical reimbursement and billing.

  2. Working knowledge of third party payor policies and reimbursement schedules.

  3. Proficient with basic accounting and ten-key by touch.

  4. Prior experience with business mathematical tasks and correspondence.

  5. Strong communication skills verbally and in writing, over the telephone, and in person.

  6. Strong organizational skills.

Kalispell is a dynamic community located within a thirty-minute drive of Flathead Lake, Whitefish Mountain Ski Resort, Glacier National Park, several National and State forests and parks, and the Bob Marshall Wilderness area. Kalispell is the retail, professional, medical, and governmental center of the Flathead Valley serving approximately 140,000 people in Northwest Montana.

Job Locations US-MT-Kalispell

Requisition ID 2021-11009

Pay Period Status 80

Shift Days

Shift Start Hours 8:30 AM

Shift End Hours 5:00 PM

Schedule Variable

Position Type Full Time (Benefits Eligible)

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