BILLER

Margaret Mary Health • Batesville, IN

409d

About The Position

The Biller position at the Occupational Health and Wellness Clinic in Batesville is responsible for managing all aspects of occupational health billing and payment posting. This role requires a strong understanding of billing codes, claim processing, and compliance regulations to ensure accurate and timely billing of insurance claims. The Biller will also handle billing inquiries, maintain financial records, and collaborate with various departments to improve billing workflows.

Requirements

• High school diploma or equivalent.
• Minimum of 1 year relevant work experience required.
• Strong communication & customer service skills.
• Detail-oriented with skill in time management.
• Strong math, bookkeeping & accounting skills.
• Able to operate a computer & basic office equipment; excellent data entry skills.
• Proficient in Microsoft Office.

Responsibilities

• Responsible for all occupational health billing & payment posting.
• Understand top occupational health E&M codes & CPT codes.
• Work on denials and import/export billing data.
• Review & correct claim edits by payer.
• Investigate medical necessity edits for billing validation.
• Reconcile claim volume reports.
• Update & maintain correct physician identification numbers as required by specific insurance carriers.
• Call for pre-authorizations/pre-cert as needed.
• Verify insurance eligibility & benefits.
• Scan all authorizations & eligibility into medical records.
• Maintain up-to-date work comp carrier information & company contacts.
• Print claims at least weekly.
• Handle billing inquiries from patient/family/company.
• Perform processes to close routinely & month end.
• Review closing to ensure all batches have closed properly.
• Monitor for billing errors on invoices & statements.
• Process claims batches by specific payer requirements, review & update required data as needed.
• Submit electronic claims and send claims to specified (non-electronic) payers.
• Review accounts on hold, update edits & claim corrections & transmit claims for processing daily.
• Edit claims and work with vendor to resolve outsourcing billing issues.
• Create transmission file & submit electronic claims to clearinghouse daily.
• Perform system backup of daily claims transmitted.
• Review & reconcile electronic & generic (non-electronic) claim reports.
• Rework rejected claims by specific payer & resubmit.
• Complete batch postings daily and follow up on outstanding invoices.
• Post payments/adjustments and maintain accurate financial records & payment procedures.
• Compile monthly reports as requested and provide A/R reports monthly.
• Understand software updates related to billing and work with clinical analyst on software issues.
• Maintain rendering physician numbers as needed by each payer and update claim dictionaries needed for billing types & payers.
• Update charge master and process payments at least weekly.
• Monitor & report days in AR monthly and work closely with Finance on ACH payments.
• Complete billing batch postings & processes EFT check postings.
• Reconcile all accounts accurately and answer phone, schedule appointments, check in/check out patients.
• Check voicemail & follow up appropriately, collect co-pays, balances, & self-pay payments.
• Keep work area clean & supplies at par level, mail information to companies/patients as requested, and manage incoming & outgoing mail.
• Engage in continuous process improvement on billing workflow to ensure efficient & accurate work.
• Maintain up to date & accurate patient data, company data, provider & insurance data, and maintain current knowledge of occupational health & wellness billing procedures.

Benefits

• Benefit eligible position with 80 hours per pay period.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Industry: Hospitals
• Education Level: High school or GED