Job Responsibilities
- Prepare and submit claims to assigned insurance companies
- Analyze, correct, and resolve claims edits related to billing, charging, and registration errors promptly and accurately to ensure clean claims are submitted in a timely manner.
- Review charges and verify appropriate usage of modifiers, CPT codes and ICD-10 codes prior to billing.
- Research, as necessary, any payer-specific billing and reimbursement rules, including but not limited to Correct Coding Initiative (CCI) edits.
- Resolve clearinghouse rejections and errors.
- Works in Epic EMR to make all claims corrections and resubmits claims when appropriate.
- Monitors claim edit work queues to ensure claims are resolved and submitted within 24 hours.
- Proactively communicates problems or issues in a timely manner for continuous workflow.
- Other duties as assigned.
Education Requirements
- High school diploma or GED
Experience Requirements
- Minimum: One (1) year of experience working with insurance balances in a business office or similar role.
- Preferred: Two (2) years of billing experience working in Epic EMR
License/Certification Requirements
- None
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.
Skills Required
- High school diploma or GED
- Minimum one (1) year experience working with insurance balances in a business office or similar role
- Knowledge of CPT and ICD-10 coding and use of modifiers
- Two (2) years of billing experience working in Epic EMR
What We Do
Riverview Health is comprised of a full-service, 156-bed hospital in Noblesville, a 16-bed hospital in Westfield, as well as freestanding combined ER and urgent care facilities. Also included are more than 25 primary, immediate and specialty-care facilities in Hamilton County. Riverview Health provides comprehensive inpatient and outpatient services in more than 35 healthcare specialties and has been frequently recognized for its clinical and service excellence, including being named America's 100 Best Hospitals for Orthopedic Surgery by Healthgrades and earning the Healthgrades Outstanding Patient Experience award. For more information on Riverview Health, visit riverview.org.Together, we provide comprehensive inpatient and outpatient services in more than 35 healthcare specialties—and have been frequently recognized for our clinical and service excellence. A wide range of services is provided at our main campus—located at 395 Westfield Rd. in Noblesville—including comprehensive care in heart & vascular, orthopedics, advanced emergency services and a vast array of women's health services. As one of the largest employers in Hamilton County, Riverview Health employs more than 1,400 employees, thereby having a significant impact on the local economy. Riverview Health is owned by the county and does not receive tax dollars for operating expenses.
