Salary Range: $33.78 - $41.46 + applicable differentials Essential Job Responsibilities Achieving Results; • Under the guidance of the Revenue Cycle Director, the Government and Commercial Billing Managers are tasked with billing various account types, encompassing HMOs, PPOs, Worker’s’ Compensation, Government Payers and Self-pay accounts. • Ensure all necessary documentation is present for billing patient accounts. • Coordinates with various insurance carriers to meet standard requirements, ensuring appropriate payment of claims and adherence to guidelines before billing. • Processes claims using the designated electronic billing system corresponding to the insurance plan, with any remaining claims billed in hardcopy to the relevant insurance carrier. • Collaborates with relevant personnel and hospital departments to ensure accurate diagnosis and procedure coding on claims. • Reviews past due accounts and associated documents to identify and access delinquency issues. • Conducts reviews of claims denials, identifies root causes, and takes necessary actions, including follow-ups and appeals in a timely manner. Demonstrates Skills; • Investigates reasons for claim denials to uncover any unique circumstances contributing to payment delays and communicates with relevant parties for follow-up, potentially seeking assistance from Payer Contracting, Case Management, and Health Information Management (HIM)/Coding departments. • Executes a comprehensive array of tasks, potentially rotating assignments or specializing in a particular area as needed. • Demonstrates proficiency in all computer systems essential for completing job responsibilities and comprehends the integration of information across all financial systems. Planning and Coordinating; • Responsible for daily claims processing and billing • Completes assigned work queues and handles daily incoming correspondence. • Participates in mandatory annual events and education sessions.