Revenue Cycle Biller (Finance)

The Claims Billing Clerk will process and follow up on all claims for the following payers Medicare,
Medicare Managed, Medicaid, Medicaid Managed, Commercial Insurance, Liability and Workers
Compensation for both hospital (inpatient and outpatient) and rural health clinic services.

Duties/Responsibilities:
Reviews, Corrects, and electronically transmits all claims that drop into our claim product from the AR system.Reviews and post electronic remits for Medicare on our AR system.Reviews Medicaid remits prior to scheduled payment date for applicable corrections.Reviews EOB's from all payers when reimbursement is not provided and resolves all issues.Submits requests for account adjustments/corrections to the Director of Revenue Cycle.Reviews aging report to resolve credits or outstanding balances.Maintains the required spreadsheets for Medicare (traditional and Managed) and for Medicaid (traditional and Managed)Performs other related duties as assigned.Adheres to the facility's Standards of Excellence.