Insight Global is looking for a Transplant Billing Associate to support a large hospital system in the Maryland/DC area. This person will be required to work on-site in White Marsh, MD. The associate processes daily transplant billing to include review and correction of daily edits to ensure that payments are met in a timely manner and that benchmarks are met. Ensures compliance with Federal regulations. Work must meet QA standards to ensure both departmental and PFS benchmarks are met.
Essential Job Duties:
Attends training sessions and workshops offered, to include but not limited to, CPAT Training, bulletin review, etc.
Completes annual mandatory training (SITEL) within defined time frame.
Contributes to the achievement of established department and Patient Financial Services goals and objectives, and adheres to department policies, procedures, quality standards, and safety standards.
Complies with governmental and accreditation regulations.
Keeps abreast of regulatory and specific changes as it relates to billing requirements and payer specific follow up.
Maintains daily performance benchmarks pertaining to daily billing.
Maintains departmental QA standard within established error rate.
Participates in PFS workgroups, staff meetings and work events.
Performs other duties as assigned.
Processes and transmits the daily billing upload of electronic claims received into the Payerpath system within the same business day, including completion of the Payerpath Billing Tracking spreadsheet.
Accurately assigns claims in the 837 upload to the correct payer and payer identification number.
Processes payer reports for reconciliation by 11am daily for all electronic payers.
Completes all electronic Payer rejections received by 11 am within 24 hours of receipt.
Completes Payerpath Billing Tracking Reconciliation Spreadsheet by end of each business day.
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Experience using the systems that they will be using
o FinThrive, Envision (SMS), OneContent for Document Imaging, IDX, Med-Connect, EVS (Medicaid), Availity (to check eligibility)
Benefit packages for this role will start on the 31st day of employment and include medical, dental, and vision insurance, as well as HSA, FSA, and DCFSA account options, and 401k retirement account access with employer matching. Employees in this role are also entitled to paid sick leave and/or other paid time off as provided by applicable law.