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Medicare Specialist/Team Lead

Medicare Specialist/Team Lead

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Salary Range: $19.00-29.00 Hourly


CULTURE:

Under the direction of the Business Office Manager, the Medicare Biller/Team Lead will provide billing services for Medicare independently for Melissa Memorials Medicare patients. Ensuring delivery of services is timely and accurate and serves Melissa Memorials needs.

ROLE REQUIREMENTS:

 

  • Accurately enters processes and reconciles patient transactions via Athena and Medicare DDE (Direct Data Entry) while demonstrating the ability to recognize discrepancies
  • Prepare reports out of Athena for Medicare and DDE as directed by the Business Office Manager
  • Provides technical assistance to Business Office Manager
  • Responds to management and team members requests in a timely, accurate, positive and professional manner
  • Proactively communicates with team member and management regarding open items, problems or other significant issues
  • Provides technical and training guidance to support team members
  • Further assists in developing competency of Billing Specialists according to applicable guidelines/regulations and will assist with training for current EMR for current services provided within Melissa Memorial
  • Identifies and suggests process improvements to enhance client service and increase efficiency
  • Assists in training and supervising of others
  • Regular and predictable attendance.
  • Continuous learning in both personal and professional development.
  • Consistent review, comprehension and reply of company email and related correspondence.

*In addition to the responsibilities described above, the role may include other responsibilities and duties as assigned on occasion, based upon MMH needs or requirements.*

WAY'S YOU'LL CONTRIBUTES

  • Support MMH vision and Mission
  • Maintain confidentiality of all work information
  • Demonstrate an ability to function successfully in a team environment
  • Follow and role model the MMH Behavior Contract.
  • Display a positive attitude and flexibility in changing situations
  • Participate in identifying problems and suggesting solutions
  • Report any compliance issues as designated in the MMH Compliance Program

Qualifications

QUALIFICATIONS:

        MINIMUM:

  • High school diploma or equivalent
  • Five+ years of job-related experience
  • Specialized certifications in billing
  • Proficient in DDE, payer portals, clearing house and Athena EMR

WHAT WE OFFER:

  • 100% Employer paid Medical (Employee Only)
  • Dental and Vision insurance
  • Retirement Plans, with up to 3% employer match
  • Voluntary Group Benefits
  • Employee Assistance Program
  • Gym Membership Discount
  • PTO, Paid Sick Time
  • Continuing Education Benefits
  • FSA
  • MASA Insurance
  • Eligibility for Student Loan Repayment

 

MELISSA MEMORIAL HOSPITAL:

Melissa Memorial Hospital is a 15-bed critical access hospital, located in Holyoke, Colorado. While being “rural” we are equipped for any situation. It is a model rural hospital with 1 operating room, surgical procedure room, 4 bay emergency room, and radiology including 64-slice CT scanner and mammography, MRI, ECHO, and Nuclear Medicine, along with other ancillary services. The hospital is co-located with a family practice clinic and retail pharmacy services. Other services include chemotherapy, general & orthopedic surgery, podiatry, cardiology, orthopedic surgery, progressive rehab services, and wound care. MMH operates a full-time EMS service and maintains a 24/7 AirLife Helicopter base.

 

THE COMMUNITY:

Holyoke is home to the Holyoke Dragons and is truly a “City of Pride and Progress.” Holyoke offers:

  • An airport (smaller crafts)
  • Indoor pool
  • 9-hole golf course (public)
  • Ballyneal -#54 Top 100 courses in the world (private)
  • Ball fields
  • Skateboard Park
  • Fishing pond
  • Parks
  • Camping facilities
  • Motels
  • Library
  • Movie theater
  • Many churches
  • Holyoke Unified School District has 600+ students.

From different coffee shops to different ethnic flavors, to a quick bite, the sweet small town of Holyoke has a handful of different restaurant options to choose from.

 

Holyoke is based in Phillips County where there are four different rural towns in the county. Holyoke, Amherst, Paoli, and Haxtun are all within the same county. Holyoke homes a historical museum with different artifacts of what has built Holyoke today. You will see the fields turn different colors throughout different seasons. Your wheat, corn, alfalfa, are some of the few cultivating growths that you will see around your area! If you enjoy hunting, there are plenty of opportunities for a good catch. You will discover that you can see the most beautiful sunsets and the clearest starry nights out in the rural areas. Come take a look at our beautiful little town in the northeastern corner of Colorado.

Click here for a List of Things to Do in Holyoke

 

Melissa Memorial Hospital is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.


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