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TruBridge Inc.

Meditech Claims Processor - UB-04 and HCFA

$17.50 - $22/hr

They work closely with TruBridge management and hospital employees to bill insurance companies for all hospital, hospital-based physician and clinic bills. They pursue collection of all claims until ...

CPSI

Regional Business Development Executive

Engage TruBridge Specialists, Demo Specialists, Sales Management, and Operations teams as needed to maximize win potential. Interface Sales Support, Transactional Sales & Order Management * Oversee ...

TaraVista Behavioral Health

Medical Coder, 40hrs

Devens, MA · On-site

$20.75 - $27.75/hr

You will use the TruBridge encoder integration to review Medical Necessity edits and CCs, MCCs ... Previous experience in the Health Information Management field, coding department and/or behavioral ...

TaraVista

Medical Coder, 40hrs

Devens, MA · Remote

$20.75 - $27.75/hr

You will use the TruBridge encoder integration to review Medical Necessity edits and CCs, MCCs ... Previous experience in the Health Information Management field, coding department and/or behavioral ...

CPSI

Medical Billing and Coding Compliance Analyst

$18.75 - $24/hr

Conducts compliance audits on medical billing functions performed by TruBridge employees or ... Strong organizational, multi-tasking, and time-management skills. * Detail-oriented and able to ...

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Meditech Claims Processor - UB-04 and HCFA

Meditech Claims Processor - UB-04 and HCFA

TruBridge Inc.

Remote

$17.50 - $22/hr

Other

Posted 10 days ago

TruBridge rating

7.4

Company rating: 7.4 out of 10

Based on 23 frontline employees who took The Breakroom Quiz

103rd of 207 rated it services

Job description

Meditech Claims Processor

The Meditech Claims Processor position is responsible for acting as a liaison for hospitals and clinics using TruBridge's complete business office services. They work closely with TruBridge management and hospital employees to bill insurance companies for all hospital, hospital-based physician and clinic bills. They pursue collection of all claims until payment is made by insurance companies; and perform other work associated with the billing process.

Essential Functions:

In addition to working as prescribed in our Performance Factors specific responsibilities of this role include:

  • Prepares and submits hospital, hospital-based physician and clinic claims to third-party insurance carriers either electronically or by hard copy billing.
  • Secures needed medical documentation required or requested by third party insurances.
  • Follows up with third-party insurance carriers on unpaid claims till claims are paid or only self-pay balance remains.
  • Processes rejections by either making accounts private or correcting any billing error and resubmitting claims to third-party insurance carriers.
  • Responsible for consistently meeting production and quality assurance standards.
  • Maintains quality customer service by following company policies and procedures as well as policies and procedures specific to each customer.
  • Updates job knowledge by participating in company offered education opportunities.
  • Protects customer information by keeping all information confidential.
  • Processes miscellaneous paperwork.
  • Ability to work with high profile customers with difficult processes.
  • May regularly be asked to help with team projects.
  • Ensure all claims are submitted daily with a goal of zero errors.
  • Timely follow up on insurance claim status.
  • Reading and interpreting an EOB (Explanation of Benefits).
  • Respond to inquiries by insurance companies.
  • Denial Management.
  • Meet with Billing Manager/Supervisor to discuss and resolve reimbursement issues or billing obstacles.
  • Review late charge reports and file corrected claims or write off charges as per client policy.
  • Review reports identifying readmissions or overlapping service dates and ignore, merge, or split-bill according to the payer's rules and the client's policy.
  • Review credit reports, resolve credits belonging to a payer when able, and submit a listing of credits to the facility as required by the payer.

Minimum Requirements:

Education/Experience/Certification Requirements

  • 3 years of recent Critical Access or Acute Care facility and professional claim billing
  • Meditech E.H.R Experience Required.
  • Computer skills.
  • Experience in CPT and ICD-10 coding.
  • Familiarity with medical terminology.
  • Ability to communicate with various insurance payers.
  • Experience in filing claim appeals with insurance companies to ensure maximum reimbursement.
  • Responsible use of confidential information.
  • Strong written and verbal skills.
  • Ability to multi-task.

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