MERCY HEALTH SERVICES - IOWA CORP Billing and Follow Up Rep IA in MASON CITY, Iowa

Department: IN308_69619 Uro - Pfs Phys & Clinic IowaExpected Weekly Hours: 40Shift: Day ShiftPosition Purpose:The Billing & Follow-Up Representative reviews, researches, and processes claims in accordance with contracts and policies to determine the extent of liability and entitlement, as well as to adjudicate claims as appropriate. The core responsibilities will include: coding and processing claim forms; reviewing claims for complete information, correcting and completing forms as needed; accessing information and translating data into information acceptable to the claims processing system; and preparing claims for return to provider/subscriber if additional information in needed. Additional follow-up responsibilities include: maintaining all appropriate claims files and following up on suspended claims; assisting, identifying, researching and resolving coordination of benefits, subrogation, and general inquiry issues, then communicating the results; and preparing formal history reviews.Job Description Details:ESSENTIAL FUNCTIONS* Knows, understands, incorporates, and demonstrates the Trinity Health Mission, Vision, and Values in behaviors, practices, and decisions.* Submits 3rd party and patient claims (electronically or by hard copy), including the maintenance of bill holds and the correction of errors in an effort to provide timely, accurate