Biller/Collector

SUN BEHAVIORAL HEALTH GROUP • FL

103d

About The Position

Responsible for accurate and timely inpatient and outpatient billing, claims follow up, denial reviews and auditing accounts for accuracy. Works closely with Intake, UR and Medical Records. Employee must have solid understanding of insurance contracts. Strong analytical skills, the ability to work unsupervised, proficient in Microsoft Excel, a strong attention to detail and exceptional work ethic. This position requires a comprehensive understanding of accounts receivable management in a healthcare setting. Strong customer service, organizational and communication skills are essential to this position. In addition, strict adherence to Patient Accounts policies as outlined in the Procedure Manual is required. This position requires an ability to prioritize multiple tasks simultaneously in an occasionally stressful environment. Also required are general computer skills, typing skills and a working knowledge OSHA and HIPAA guidelines.

Requirements

• High school diploma or GED.
• Basic medical terminology.
• One to two years previous experience in related field.
• Knowledge of insurance payor rules and regulations.

Nice To Haves

• Bachelors degree in a healthcare or business-related field
• Experience with HIPPA regulated environment, processing ICD10 CPT/HCPCs, EOBs, third party payers, Medicare, managed care and private pay.
• Understanding of behavioral health treatment modalities.
• Working experience in HCS system a plus

Responsibilities

• Verify authorizations match services rendered
• Knowledgeable insurance benefits, covered services and billing procedures of all Government and non-Government insurance programs.
• Maintains a current awareness of third-party reimbursement regulations and contractual arrangements with HMOs and PPOs.
• Reviews patient bills for accuracy and completeness, obtains any missing information prior to releasing claims.
• Follows up on unpaid claims within standard billing cycle timeframe
• Reviews insurance payments for accuracy and compliance with contract discount
• Identifies and bills secondary or tertiary insurances
• Research denied claims and follows up on appeal status
• Consistently meets SUNs standard of 30 accounts a day with positive outcomes
• Perform data entry utilizing Electronic Health Record for documentation of insurance information with minimal errors
• Ability to obtain single case agreements with non-contracted insurance companies.
• Understands and resolves billing appeals/denials
• Resolves credit balances
• Identify and recommend process improvements-based job functions.
• Understands how to balance patients accounts.
• Understands insurance contracts and can apply to balancing an account.
• Performs other duties as assigned

What This Job Offers

• Job Type: Full-time
• Education Level: High school or GED