Billing Specialist Lead, Day Shift, Patient Financial Services
Adventist HealthCare
- Gaithersburg, MD
- Permanent
- Full-time
- Bills electronic and hardcopy claims.
- Submits adjusted claims due to audits, changes to charges, diagnosis, billing codes, and DRG.
- Bills both UB04 and/or 1500 forms to third party payers daily.
- Works closely with Clinical Coders when issues arise due to coding edits.
- Files all secondary and tertiary claims after primary claims have paid.
- Assists in downloads and other duties specific to billing.
- Work all assigned claims daily by resolving edits, payer rejections, validating claim errors, and forwarding claims to other departments as needed.
- Appropriately documents electronic billing system and/or patient accounting system.
- Handles all customer calls both internal and external in a professional and courteous manner
- High School Diploma required; some college preferred.
- Billing certification or minimum of 2 years’ experience required in a hospital or doctor’s office.
- Active American Heart Association Basic Life Support (BLS) certification required
Adventist HealthCare is an Equal Opportunity/Affirmative Action Employer. We are committed to attracting, engaging, and developing the best people to cultivate our mission-centric culture. Our goal is to have a welcoming, equitable, and safe place to work and grow for all employees, no matter their background. AHC does not discriminate in employment opportunities or practices on the basis of race, ethnicity, color, religion, sex, national origin, age, disability, sexual orientation, gender identity, pregnancy and related medical conditions, protected veteran status, or any other characteristic protected by law.Adventist HealthCare will make reasonable accommodations for applicants with disabilities, in accordance with applicable law. Adventist HealthCare is a religious organization as defined under applicable law; however, it will endeavor to provide reasonable accommodations for applicants’ religious beliefs.Applicants who wish to request accommodations for disabilities or religious belief should contact the Support Center HR Office.