Building Location:Fargo Distribution Serv Center
Department:46080 Ambulatory Accounts
Job Description:Job Profile Summary
Processes paper and electronic claims to payers with full and complete information to satisfy and facilitate the claim for payment. Produces accurate and timely claims in order to prevent denials and maximize reimbursement. Responsible for working assigned work queues within the patient accounting system and claim scrubber edits prior to final submission. Responsible for optimizing the claim submission operations including prospectively reviewing submissions and making corrections to expedite first time payment to the extent possible. He/ she is also responsible for research and communication of payer, HIPAA or other regulatory changes affecting the billing of health insurance claims and making recommendations regarding billing and system operations to improve payment turnaround. This position works closely with insurance companies, credentialing, access and managed care and other internal and external stakeholders tied to the billing system. Makes recommendations regarding system changes to improve the revenue cycle process and quality, and works to assist in the development of training. Position requires high level of customer service skills to establish and enhance positive relationships with patients, colleagues, and others. Depending upon location responsibilities may vary and may include a variety of duties of similar scope and responsibility.
Education Qualifications:
Work Experience:
1 year of healthcare experience in healthcare billing, revenue services, or coding- medical certification or degree.
Licensure/Certification Qualifications:
None
FTE:1
Possible Remote/Hybrid Option:
RemoteShift Rotation:Day Rotation (United States of America)
Shift Start Time:8am
Shift End Time:5pm
Weekends:
Holidays:No
Call Obligation:No
Union:Union Posting Deadline:
What We Do
Essentia Health is an integrated health system serving patients in Minnesota, Wisconsin, and North Dakota.
Headquartered in Duluth, Minnesota, Essentia Health combines the strengths and talents of more than 15,000 employees, including more than 2,200 physicians and advanced practitioners, who serve our patients and communities through the mission of being called to make a healthy difference in people’s lives.
Essentia Health, which includes many Catholic facilities, is guided by the values of Quality, Hospitality, Respect, Joy, Justice, Stewardship, and Teamwork. The organization lives out its mission by having a patient-centered focus at 14 hospitals, 78 clinics, six long-term care facilities, six assisted living and independent living facilities, six ambulance services, 24 retail pharmacies, and one research institute
