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ClearSky Health

Central Business Office Specialist Remote

ClearSky Health, Albuquerque, New Mexico, United States, 87101

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divh2Business Office Specialist/h2pOur hospitals provide high-quality care that transforms the lives of those living with disabling injuries and illnesses. We distinguish ourselves through our commitment to excellence, to our patients, to our employees, and to the communities we serve./ppThe Business Office Specialist position is responsible for the daily activities of the central business office accounts receivable, which include the preparation, submission and collection of insurance claims, Medicare/Medicaid billing, third party payer billing, and payment posting./ppstrongMust have:/strong hospital billing, collections, Medicare and commercial health care insurance experience./pulliPrepares, processes, and files accurate and timely insurance claims for all payer types in accordance with department policy and payer requirements./liliAnalyzes, interprets, and resolves all billing edits to ensure claims are filed accurately within the payers regulations and filing limits./liliAdheres to compliance and regulatory rules as mandated by CMS, state and federal regulations, payer contracts, and established department policies and procedures./liliProcesses and monitors all refunds, adjustments, corrections, etc./liliMonitors compliance of proper billing practices in accordance with federal, state, local standards, guidelines, and regulations./liliPrepares end of day, month and year to comply with financial policy and procedures./liliHandles correspondence related to the billing of a claim for all lines of business, answers questions and updates accounts as necessary./liliAssists in cost containment development of the department within budgeted parameters; reviews bad debt activity./liliAccurately posts payments to Patient Accounts./liliOversees monthly cash reconciliations and reporting./liliUpdates and reviews all accounts to keep records up to date, follow up with payer on unpaid claims./liliResolves denials, appeals, and other payer issues, works with hospital personnel when required./li/ul/div