At Moffitt Cancer Center, we strive to be the leader in understanding the complexity of cancer and applying these insights to contribute to the prevention and cure of cancer. Our diverse team of over 9,000 are dedicated to serving our patients and creating a workspace where every individual is recognized and appreciated. For this reason, Moffitt has been recognized on the 2023 Forbes list of America’s Best Large Employers and America’s Best Employers for Women, Computerworld magazine’s list of 100 Best Places to Work in Information Technology, DiversityInc Top Hospitals & Health Systems and continually named one of the Tampa Bay Time’s Top Workplace. Additionally, Moffitt is proud to have earned the prestigious Magnet® designation in recognition of its nursing excellence. Moffitt is a National Cancer Institute-designated Comprehensive Cancer Center based in Florida, and the leading cancer hospital in both Florida and the Southeast. We are a top 10 nationally ranked cancer center by Newsweek and have been nationally ranked by U.S. News & World Report since 1999.
Working at Moffitt is both a career and a mission: to contribute to the prevention and cure of cancer. Join our committed team and help shape the future we envision.
Summary
Position Highlights:
The Insurance Biller is responsible for all Hospital UB04 Claims. The Insurance Biller must be knowledgeable of all payer regulations and have discrete knowledge of Hippa Guidelines as they relate to insurance billing. The Insurance Biller is responsible for knowledge of all third party insurance billing processes.
The Ideal Candidate:
·Works effectively and constructively to find mutually beneficial solutions for all concerned parties.
·Meets work deadlines as assigned and/or promptly communicates any issues with meeting deadlines as soon as they are known.
·Accepts accountability for actions, choices and outcomes; assumes nothing; answers for own conduct and obligations.
·Is dedicated to superior customer service and satisfaction.
·Commits to the principles of dignity & respect, information sharing, participation and collaboration when dealing with others.
Responsibilities
·Prepare initial claims for submission to third party payers
·Utilize various hospital systems to verify patient, billing and claim information for accuracy
·Work edits on all claims for accuracy prior to submission
·Submit claim electronically and hard copy paper claims
·Prepare claims for mailing to third party payers
·Print Red/White UB-04's for payers that have requested submission as R/W
·Rebilling claims as needed, resubmitting unpaid claim that have rejected or have not paid
·Document accounts within Soarian of activity completed on claim
·Analyze insurance payer rejections for appropriate response to ensure claims are resubmitted.
·Rebill claims that have been rejected or denied by third party payers
Credentials and Qualifications:
·High School Diploma or GED
·Minimum of three (3) years' experience in Hospital or Physician billing required
·Competency in Microsoft Word, Excel, PowerPoint, Outlook