Job Description

Responsible for billing and collections on all Medicare claims. Claims are processed either electronically through ePremis or DDE on Medicare systems.  Responsible for tracking and notification of all RAC and Non RAC denials and requests submitted.  Responsible for working RTP, suspense, ADR requests and all other Medicare related requests.  Responsible for performing Medicare eligibility as requested. Completes audit of credit balances on Quarterly basis.  Works closely with the Admitting Office, Medical Records and physicians' office staff.  Participates in performance improvement and CQI activities.


Regulatory Requirements:

- High school graduate or equivalent.

- Prior Acute Care Hospital Medicare billing and collections experience required.

Language Skills:

- Ability to communicate in English, both verbally and in writing.

- Other languages preferred.


- Thorough understanding of Medicare, Medicaid, HMO's, PPO's, private insurance companies.

- Basic computer knowledge, data entry skills.


Equal Opportunity Employers; Minorities/Women/Veterans/Disabled

Application Instructions

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