Insurance Biller Collector - SMRMC-MG Patient Accounting

Prime Healthcare•Reno, NV

9d•Onsite

About The Position

Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community! Saint Mary's Medical Group is affiliated with Saint Mary’s Regional Medical Center, one of the nation’s “100 Top Hospitals” and “A” rated for patient safety. We offer incredible opportunities to expand your horizons and be part of a community dedicated to making a difference.

Requirements

Previous Billing Experience within a hospital Business Office Required.
Knowledge of medical terminology
Effective written and verbal communication skills
Ability to multi-task, prioritize needs to meet required timelines
Analytical and problem-solving skills
Customer Services experience required
High School Graduate or GED Equivalent Required (effective 4/1/14 for all new hires)

Nice To Haves

Previous experience with government programs and collections preferred.

Responsibilities

Submitting claims to the appropriate intermediaries.
Ensuring that procedures and charges are coded in compliance with all payers including Medi-Cal and/or Medicare regulations.
Obtaining required authorizations necessary for the processing and payment of claims.
Follow-up and denial management as necessary for final resolution.
Identifying the various types of diagnosis and procedures codes (ICD9, CPT, HCPCS, DRG) as they relate to reimbursement.
Communicating clearly and efficiently by phone and in person with clients and staff members.
Maintaining productivity standards and reports.
Obtaining updated demographic information and all necessary information needed to comply with the various Government Programs billing requirements.
Operating computer to input follow up notes and retrieve collection and patient information.
Maintaining proficiency in Medical Terminology.