Biller

Scotland Health Care System in Laurinburg, North Carolina•Laurinburg, NC

1d•Onsite

About The Position

Scotland Health Care System is a community-owned, not-for-profit organization founded in 1946, serving Laurinburg, North Carolina. Its mission is to deliver safe, high-quality, compassionate, and sustainable health care, offering a full spectrum of services including inpatient, outpatient, emergency care, and specialized programs in cancer treatment, cardiac care, surgical services, and women’s health. The organization comprises Scotland Memorial Hospital, Scotland Physicians Network with sixteen medical practices, Scotland Regional Hospice, Scotland Family Counseling Center, and Scotland Memorial Foundation. The culture is built on caring for both patients and employees, aiming to provide exceptional care to communities. The system is evolving towards a patient-centered, ambulatory model, focusing on the health of the individual patient and the overall health of the population served, with new payment models incentivizing better coordinated care. Patients are viewed as consumers expecting more value, convenience, access, and compassionate service. The Biller position is part-time, working the 1st shift in the Patient Financial Services Department at Scotland Memorial Hospital.

Requirements

HBI Revenue Cycle classes completed
Understands and maintains compliance with HIPAA guidelines when handling patient information

Responsibilities

Works daily electronic billing files and submits insurance claims to third-party payers, governmental payers, workers compensation, auto and liability claims
Ensures that timely, accurate billing and follow-up practices are occurring in accordance with specific payer requirements.
Obtains any missing required billing information and refers consistent deficiencies to management.
Corrects pended claims in FISS for Medicare claims processing
Monitors and processes late charge claims and adjustments claims within 2 business day of request or eligibility to re-file
Monitors bill holds and identifies common issues preventing claim submission, coordinates with other department to improve related process
Assists department leaders in establishing, implementing and verifying adherence to controls that maintain appropriate claim submission, billing and reimbursement practices
Performs routine quality assurance checks prior to submission to prevent denials, regularly tracts rejected claims and initiates correction, follow-up, or appeals processes as appropriate with Patient Account Rep.
Plans, coordinates, and implements on going staff training and education in collaboration with department leaders as needed to drive department performance
Reviews aged claims with fellow billing staff to determine viable payment resolution strategies
Collaborates with other departments to identify best-practices collection strategies, align goals and improve collections
HBI Revenue Cycle classes completed
Participates in continuous quality improvement efforts on an ongoing basis, establishing goals with manager and tracking progress (attends huddles and leads a minimum of 3)
Understands and maintains compliance with HIPAA guidelines when handling patient information
Performs other duties as assigned