Institutional & ProFee Claim Biller - Commercial & Medicaid

CPSI

40d•Remote

About The Position

The Institutional & ProFee Claim Biller - Commercial & Medicaid position is responsible for the day-to-day execution of TruBridge’s complete business office services. This position is responsible for providing TruBridge claims processing services to Critical Access Hospital (UB-04) and Rural Health Clinic (CMS-1500) facilities in New Hampshire. This includes coordinating the day-to-day activities of a hospital's or clinic’s business office such as patient billing and collection, third-party payer relations, and/or preparation of insurance claims.

Requirements

At least 3-5 years Full-Cycle billing experience, to include BOTH Acute Hospital and Physician (Profee) claims
Experience with Claims and Denial Que's
Familiar with Commercial and Medicaid claims REQUIRED
Strong organizational, multi-tasking, and time-management skills.
Must be detail oriented and able to follow through on issues to resolution.
Must be able to act both independently and as a team member.
High School Diploma or equivalent combination of education and relevant experience needed.
Excellent critical thinking, organizational, and time management skills with a strong attention to detail, accuracy, and follow through

Responsibilities

Coordinates business office functions and personnel that may include, but is not limited to patient billing, credit and collections, and data entry.
Recommends new processes and changes in current processes.
Implements controls to ensure appropriate submission, billing and credit and collections are kept in accordance with established procedures.
Implements appropriate procedures for follow-up on third party approvals, billing, and collection of overdue accounts.
Ensures that accurate and timely billing is being done by staff members in accordance with established procedures and third-party requirements.
Responsible for consistently meeting production and quality assurance standards.
Maintains quality customer service by following company policies and procedures as well as policies and procedures specific to each customer.
Updates job knowledge by participating in company offered education opportunities.
Protects customer information by keeping all information confidential.
Processes miscellaneous paperwork.
Ability to work with high profile customers with difficult processes.
May regularly be asked to help with team projects.
Responsible for assisting manager in the management of employees which would include coaching, training and performing necessary disciplinary actions including following up on action plans for their employees.
Ensures employee compliance with dress code, attendance and other company policies.
Processes miscellaneous paperwork and performs other administrative duties as assigned.