Billing Clerk - Sleep Lab

Location:

Geisinger South Wilkes-Barre (GSWB)

Shift:

Days (United States of America)

Scheduled Weekly Hours:

40

Worker Type:

Regular

Exemption Status:

No

Job Summary:

Responsible for performing the services to assist in the distribution and billing of durable medical equipment for Geisinger Sleep Services DME.Interacts with other Geisinger sleep services staff, outside agencies, insurance companies and organizations, consumers and their families.Performs duties to provide the highest level of customer satisfaction.

Job Duties:

• Medical Billing: Key claims; Follow up on claims and resolve denials; Verify insurance payments
• Customer Service: Respond to customer inquiries, requests; Resolve issues related to DME products; Explain DME coverage to patients.
• Documentation: Collect and review medical documentation to support the medical necessity of DME items; Ensure accurate and timely submission of paperwork for claims processing; Verify insurance coverages and obtain necessary authorizations in a timely manner; Identifies delinquent accounts.
• Compliance: Ensure compliance with payor guidelines and regulations.
• Patient Interaction: Communicate with patients via phone or in-person to understand their needs and provide support; Provides patient financial counseling prior to setup or supply ordering. 
• Staff Interaction: Work along with respiratory therapist to co-ordinate setup of PAP devices, supply requests and mask exchanges or fittings; Work with Patient Physician Liaisons in processing PAP devices and a supply requests

Work is typically performed in an office environment. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job.

Position Details:

Benefits of working at Geisinger:

• Full benefits (health, dental and vision) starting on day one 
• Three medical plan choices, including an expanded network for out-of-area employees and dependents  
• Pre-tax savings plans with healthcare and dependent care flexible spending accounts (FSA) and a health savings account (HSA)  
• Company-paid life insurance, short-term disability, and long-term disability coverage  
• 401(k) plan that includes automatic Geisinger contributions  
• Generous paid time off (PTO) plan that allows you to accrue time quickly  
• Up to $5,000 in tuition reimbursement per calendar year  
• MyHealth Rewards wellness program to improve your health while earning a financial incentive  
• Family-friendly support including adoption and fertility assistance, parental leave pay, military leave pay and a free Care.com membership with discounted backup care for your loved ones  
• Employee Assistance Program (EAP): Referrals for childcare, eldercare, & pet care. Access free legal guidance, mental health visits, work-life support, digital self-help tools and more.  
• Voluntary benefits including accident, critical illness, hospital indemnity insurance, identity theft protection, universal life and pet and legal insurance  

Education:

High School Diploma or Equivalent (GED)- (Required)

Experience:

Minimum of 4 years-Relevant experience* (Required)

Certification(s) and License(s):

Skills:

Communication, Computer Literacy, Teamwork

OUR PURPOSE & VALUES: Everything we do is about caring for our patients, our members, our students, our Geisinger family and our communities.

• KINDNESS: We strive to treat everyone as we would hope to be treated ourselves.
• EXCELLENCE: We treasure colleagues who humbly strive for excellence.
• LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow.
• INNOVATION: We constantly seek new and better ways to care for our patients, our members, our community, and the nation.
• SAFETY: We provide a safe environment for our patients and members and the Geisinger family. 

We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners. Perhaps just as important, we encourage an atmosphere of collaboration, cooperation and collegiality.

We know that a diverse workforce with unique experiences and backgrounds makes our team stronger. Our patients, members and community come from a wide variety of backgrounds, and it takes a diverse workforce to make better health easier for all.  We are proud to be an affirmative action, equal opportunity employer and all qualified applicants will receive consideration for employment regardless to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or status as a protected veteran.