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Hospital Biller
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- The biller is responsible for prompt and accurate billing and follow-up for all hospital and related professional services provided to patients covered by third party payers, including: Medicare, Medicaid, Blue Cross, Commercial, Workers Compensation and all Managed Care Programs.
- Responsible for accuracy and third party compliance in all aspects of billing activities in particular in relating to clinical attachments, cpt coding, occurrence, condition and value codes, pre-certification, contractual adjustments or required forms.
- Understands the relationship of timely and thorough claims follow-up to assist in the reduction of days in accounts receivable and payer turn around.
- Maintains a thorough understanding of all HMO, PPO, or managed care contractual relationships and able to determine if correct payments and adjustments were made.
- Basic understanding of billing form UB-04, 1500 and ICD-10 Coding.
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