Patient Acctg Govt. Specialist

• Have an understanding of APGs,and clinic billings
• Bills government accounts within twenty-four (24) hours of bill drop. Daily reviews billing
• reports and makes necessary corrections in the electronic billing system as well as in Meditech
• Works with Medical Records,Utilization Managerment, Patient Access, clinics, guarantor,
• physician,etc to obtain and/or clarify required billing data that errors out in DDE and billing
• system.
• Establishes adequate follow-up dates so that accounts are worked timely to ensure prompt
• payment on claims
• Documents all billing and follow-up activites in the Meditech system in a clear and effective
• manner.
• Requests and sends any additional information and/or medical records needed to process
• claims for payment.
• Works correspondence with forty-eight (48) hours of receipts, taking whatever action may be
• necessary to get claims paid
• Ensures the Hospital is in compliance with all state and federal rules and regulations and reports
• any suspected compliance issues to manager.
• Works the Medicare's 72 hour rule report daily and Medicaid's APG reports to combine
• accounts as required.
• Processes outlier accounts when assigned.Idenity and process outliers, short stays and long
• stay accounts.
• Performs other duties as assigned.
• Reviews Medicaid and Medicare worksheets and remittance advises to identify variances
• between DRG and outstanding balance due.
• This position requires a minimum formal education of High School Diploma or equivalent

MON - FRI 9AM-5PM

Rate $31.7492