Hospital Medicaid Biller

Ni2 Health is actively recruiting a Hospital Medicaid Biller to join our Billing Team. The ideal candidate is action oriented and looking to learn and grow with Ni2 to advance within the organization. The Hospital Medicaid Biller will:

• Research and re-bill unpaid claims. 
• Bill hospital and professional claims.
• Use TMHP for claims processing and AR follow-up.
• Responsible for verifying insurance benefits or payment source on all patients. 
• Responsible for set up of patient financial files. 
• Responsible for accurate computer data input on all patients, notes, and claims. 
• Generates invoices for insurance billing, individual account billing, and follow-up billing for deductibles and copays. 
• Research denied or pending claims and provides additional information to facilitate claim payment. 
• Negotiates with the responsible party on accounts more than sixty days past due. When unable to secure an agreement satisfactory to both parties, submit these accounts to the Client Services Manager for review prior to turning to private collection. 
• Responsible for collection of patient information and verification of reimbursement source. Maintains patient financial files. Generates billing invoices and is responsible for collections. 
• Required to always maintain confidentiality. 
• Research and resolve accounts appearing in Follow-up Reports. 
• Make appropriate decisions and calls to carriers to maximize reimbursement on accounts to be worked. 
• Correct all errors on electronic error reports using all the available information. 
• Meet production and quality standards. 
• Assists in identifying current and/or potential billing issues 
• Participates in daily production assignments that will continue to develop an understanding and knowledge of processing guidelines and expectations of respective client(s) payer mix. 
• Ability to take patient phone calls and assist Customer Service when business needs arise. 

About the Role: 

Under general direction, this position objective is to assist with the Hospital's medical billing procedure. Billing Specialists will ensure that insurance companies and healthcare facilities keep accurate records. They work closely with customers, patients, or company personnel to create invoices and check calculations on billing statements so there are no errors in payment procedures. 

Schedule:
Monday to Friday from 8am to 4:30pm Central

ABOUT NI2 HEALTH 
Awarded Consulting Magazine’s “Best Small Firms to Work for 2019 and 2020,” Ni2 Health ranks highly in employee morale and firm culture. At Ni2 Health, you will discover challenges that excite you as you develop professionally and explore different career paths based on your interests and abilities. We reward ambitious, talented individuals with a work environment that fosters creativity, teamwork and collaboration while encouraging fresh thinking away from the way things have always been done.  
Breaking the mold is a vital component to what we do at Ni2, and driving sustained value to our clients is paramount. Our team members and clients are completely satisfied with our service-based approach. If you are looking to be mentored as a new graduate, come explore Ni2 Health (www.ni2health.com) and join a team of stars.   

APPLICANT REQUIREMENTS AND SKILLS 
Applicants must submit a full CV, cover letter and updated resume to be considered. 
Position is remote. 
Minimum Job Requirements 

• Understanding of Texas Medicaid billing rules. Knowledge of Microsoft Office Suite software.
• Minimum of 5 years required with Medicaid/Medicaid HMO billing in a hospital setting (will consider Medicaid follow-up experience)
• Have proven experience with hospital inpatient/outpatient billing
• 5 years of experience with TMHP system
• Be able to function independently to bill hospital and professional claims.
• Be able to function independently to complete thorough follow-up on hospital AR.
• Be able to function independently to complete thorough processes for proper denial management.
• Gain exposure to our proprietary tools and technology

Other Duties

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

Compensation Package 

• Hourly wage based on experience
• Full benefits to include 401k with company match, progressive PTO policy with paid holidays