Job Details

Mountain View Hospital is looking for a Billing Clerk to join our team!

Job Summary: Performs all duties related to billing and accounts receivable. Responsible for maintaining patient accounts from the time therapy starts, billed, and until payment is received. Notes every account worked. Assists with authorizations as needed. Follow and verify all authorizations before billing.

About Mountain View:

Mountain View Hospital and our 29 affiliate clinics are committed to providing compassionate, cutting-edge care to our patients. We serve the entire Snake River Valley - all the way from Pocatello to Rexburg. Our medical capabilities span everything from wound care to urgent care, oncology to neurology, physical therapy to speech therapy, a Level III NICU, robust robotic surgery department and a continuously expanding rural health practice.

Our work environment is mission driven, people-centric and supportive. It is what sets apart and makes people excited to come to work each day. If you are looking for a career where you can make a difference in your community, we invite you to apply.

Duties and Responsibilities:

1. In a professional and friendly manner, answers incoming phone calls transferred to admissions, preauthorization, and billing department. Answers admission, preauthorization, and billing questions from patients, co-workers and providers.

2. Secures physician orders and uses all patient information for charting, billing and record keeping purposes.

3. Verifies all patients have appropriate diagnosis and billing codes for each therapy to support medical necessity according to LCD's and payer policies, when submitting patient billings.

4. Keys charge information into billing and software program and produce billing.

5. Follows all patient billings and works on denied claims in a timely manner. Works closely with insurance companies to correct denied claims.

6. Processes appeals on accounts when appropriate.

7. Responsible for rebilling claims when required. Responsible for contacting responsible party if additional information is requested for billing purposes. Responsible for notifying insured of insurance denials as requested. .

8. Reviews EOB's/payments and verifies that accounts are being paid according to contract as needed.

9. Maintains flexibility as department grows with willingness to accept additional responsibilities requested by department manager/supervisor/director.

10. Acts professional in every situation: patient, co-worker or intradepartmental.

BENEFITS:

Taking care of our community starts with taking care of our own team. Mountain View Hospital is proud to offer its employees competitive and comprehensive benefit packages. Benefits include:

• Medical, Dental and Vision Insurance

• Paid Time Off (vacation, holidays and sick days) and Medical Paid Time Off

• Retirement Plans (401K with up to 6% match)

• Earned Quarterly Bonus Program

• Education Reimbursement Program

• Discount for medically necessary procedures performed at Mountain View Hospital and Idaho Falls Community Hospital

Please note benefits are based on eligibility according to full-time, part-time or PRN status classification.

Education: High School graduate or equivalent.

Experience: Prior experience with coding and billing for outpatient services is preferred.