Commercial Pre-Biller

About the position

As the Commercial Pre Biller, you will be responsible for accurately processing of Inpatient and Outpatient claims to all payers, specifically government and commercial payers. This includes interpreting payer contracts, processing contractual adjustments, and knowledge of the late charge process. You will handle primary, secondary, and tertiary billing, verify benefits and eligibility, apply all mandated billing guidelines, meet timely filing guidelines, and perform all required duties within the patient accounting systems.

Responsibilities

• Accurately processing of Inpatient and Outpatient claims to all payers, specifically government and commercial payers
• Interpreting payer contracts and processing contractual adjustments
• Knowledge of late charge process
• Handling primary, secondary, and tertiary billing
• Verifying benefits and eligibility
• Applying all mandated billing guidelines
• Meeting timely filing guidelines
• Performing all required duties within the patient accounting systems

Requirements

• A minimum of 2 years' experience in hospital billing
• Knowledge of billing guidelines
• Knowledge of billing and reimbursement issues to address payor questions
• Knowledge of UB04 and 1500 Billing form
• Knowledge of Revenue Codes, CPT, HCPCS, Diagnosis and Procedure Codes
• Knowledge of MS Word and MS Excel software
• Skill in adding, subtracting, multiplying, and dividing whole numbers with a calculator
• Skill in performing repetitive work according to set procedures, sequence, and production requirements