Biller-Patient Accounting

Prime Healthcare•Sherman Oaks, CA

11d•Onsite

About The Position

The Biller is responsible for billing insurance companies, workers’ compensation carriers, and HMO/PPO carriers. The role audits patient accounts to ensure procedures and charges are coded accurately, corrects billing errors, and identifies stop-loss claims, implants, and missing codes. The Biller maintains proficiency in medical terminology and follows up on insurance balances as needed to ensure timely payment. The position also involves communicating with clients and staff by phone and in person, maintaining productivity standards and reports, obtaining updated demographic and insurance billing information, and using a computer to enter follow-up notes and retrieve collection and patient information. The Biller writes effective appeals to insurance companies.

Requirements

Knowledge of multiple insurance billing requirements.
1–2 years of billing experience.
Knowledge of CPT, HCPCS, and Revenue Code structures.
Effective written and verbal communication skills.
Ability to multitask and prioritize needs to meet required timelines.
Analytical and problem-solving skills.
High school graduate or GED equivalent required.

Responsibilities

Bill insurance companies, workers’ compensation carriers, and HMO/PPO carriers.
Audit patient accounts to verify accurate procedure and charge coding and correct billing errors.
Identify stop-loss claims, implants, and missing codes.
Follow up on insurance balances to help ensure timely payment.
Communicate clearly and efficiently with clients and staff by phone and in person.
Maintain productivity standards and reports.
Obtain updated demographic information and information needed to meet insurance billing requirements.
Use a computer to enter follow-up notes and retrieve collection and patient information.
Write appeals to insurance companies.