Position Summary
The Biller is responsible for accurate and timely preparation and submission of claims to Government, Commercial, Secondary and Managed Care payers, as assigned. Monitors and/or corrects submitted claims to ensure accurate and prompt reimbursement of claims. Resolves issues and inquiries.
Required Qualifications
- High School Diploma or Equivalent
- One year recent experience in hospital billing
- Computer literacy and proficiency
- Ability to multitask and prioritize needs to meet timelines
- Understanding of basic medical terminology
- Must be able to read, write and communicate effectively in English
- Must demonstrate customer service skills appropriate to the job
Preferred Qualifications
- Two years recent hospital billing experience
Physical Requirements
These are requirements normally expected to perform regular job duties. Reasonable accommodations may be made in compliance with the Americans with Disabilities Act of 1990, and applicable, state and local law, to enable individuals with disabilities to perform the essential functions. Incumbent must be able to successfully perform all of the essential functions of the job with or without reasonable accommodation.
- Standing - Occasionally
- Walking - Occasionally
- Sitting - Constantly
- Reaching with Hands and Arms - Occasionally
- Climb or Balance - Occasionally
- Stooping, Kneeling, Crouching, or Crawling - Occasionally
- Talking - Constantly
- Hearing - Constantly
- Seeing - Constantly
- Performing repetitive motions with arms or hands - Frequently
- Lifting, carrying, pushing or pulling up to 10 lbs - Constantly
- Lifting, carrying, pushing or pulling up to 25 lbs - Constantly
- Lifting, carrying, pushing or pulling up to 50 lbs - Occasionally
- Lifting, carrying, pushing, or pulling greater than 50 lbs - None
- Driving - None
Essential Job Functions / Major Areas of Responsibility
The essential functions below are not intended to be an exhaustive list of all duties that may be assigned to this position, nor does it restrict the duties which may be assigned to this position if such duties reasonably relate to the position.
- Reviews diagnosis, procedure codes, and charges for accuracy and obtains missing information from appropriate department when necessary. Updates insurance information and financial class in appropriate financial systems.
- Accurately identifies, prepares and keys electronic billing. Ensures accurate input of all UB04 information in the electronic system. Enters and transmits claims on a daily basis and in a timely manner. Ensures that error/reject reports are addressed in a timely manner. Updates account with correct activity code and/or comments in corresponding financial systems. Maintains zero billing WIP. Completes all required follow-up to prevent delays in payment. Maintains electronic tracking logs as assigned.
- Takes conscious ownership for work and takes a proactive, deliberate, and thoughtful approach regarding work activities. Demonstrates appropriate use of independent judgement and decision making. Demonstrates excellent customer service at all times. Maintains confidentiality in accordance with hospital/corporate policies and HIPAA privacy regulations.
- Recognizes potential issues/delays with payor so that corrective actions can be taken. Obtains information, as needed, from appropriate internal sources. Responds in a timely manner to avoid AR aging. Submits accurate and timely written online adjustments, as needed. Escalates payment delays/problem accounts to director in a timely manner.
Benefits
We offer a competitive benefits package that includes medical, dental, and vision insurance, Paid Time Off (PTO), 401(k) Retirement Plan and Health Savings Account (HSA). Benefits are available to eligible employees and may vary based on employment status.
Pay Rate: Min - $22.20 l Max - $30.50
Job Listing ID:1789067