About the position
Ste. Genevieve County Memorial Hospital is a Critical Access Hospital, stand-alone, not-for-profit hospital located in Ste. Genevieve, MO that focuses on personalized care. Our 25-inpatient bed facility is a Medicare 4-star rated and is ranked in the top 1% nationally for Patient Safety, Quality, and Efficiency. SGCMH has also been recognized by Becker’s 150 Top Places to Work in Healthcare. We are proud to extend the mission of SGCMH by putting people first with excellent, personalized, and compassionate healthcare. Our deep community roots date back as the oldest town west of the Mississippi river and is the first French settlement Missouri with the hospital employing approximately 490 employees and 100 multi-specialty providers on staff. We have all the best qualities of working in a large hospital without all the hassle of driving to the city and working in a corporate environment.
Responsibilities
- Supervising all updates, conversions, implementations and trouble-shooting with hospital billing.
- Monitors UB revenue coding and CPT Coding necessary for accurate claims submission and reports discrepancies to the Department Manager.
- Coordinates with ancillary departments to determine resolution of problems or needs for compliance and enhanced revenue.
- Reviews Chargemaster changes/additions by ensuring accurate Revenue Coding and coordinates with departments for proper CPT Coding.
- Facilitates with appropriate personnel to obtain required criteria to obtain documentation for billing.
- Stays informed of changes in billing procedures and regulations that affect billing processes and/or reimbursement.
- Attends committee meetings in relations to billing issues as requested by the Business Office Director.
- Submits claims on a timely basis and prepares edits on claims as needed prior to submission.
- Responsible for follow-up of unpaid claims through aggressive research on the FSS System.
- Assists billers with problematic claims and/or claim formatting issues.
- Point person for Clearing House maintenance and edits for improving efficiency.
- Completes provider enrollment for all ER and CRNA providers. Completes revalidation for the hospital, Bloomsdale Radiology, and Swing bed Facilities as required by each insurance carrier or government official.
- Processes refund batches.
Requirements
- High school graduate or equivalent.
- Excellent customer service skills, phone etiquette, and attention to detail are required.
- Previous experience of answering phones and filing desired.
- Prior Insurance billing preferred.
- Effective oral and written communication, basic office, and keyboard skills.
Benefits
- Medical coverage
- Dental coverage
- Vision coverage
- Wellness Program including financial incentives and counseling
- Sick and paid time off
- Retirement planning
