Insurance Biller

Marshall Medical Center • Placerville, CA

13d • Onsite

About The Position

The Insurance Biller ensures the accurate and timely completion of duties related to the billing of all hospital and home health claims assigned to the appropriate carrier. They pursue collection of all claims in a timely manner until payment is made by insurance carriers, ensuring payment variances are reviewed and resolved according to policy. The role also acts as a patient advocate with departmental and hospital staff, insurance carriers, and patients to resolve billing issues and promote customer satisfaction. Assistance with projects as needed is also part of the role.

Requirements

• High school graduate or equivalent required.
• Completion of on-line duty specific training required within 90 days of job start date.
• Working knowledge of Microsoft and Office products, and basic office equipment required.
• Must have basic knowledge of Knox-Keene, ERISA and California State laws that impact the billing process.
• Must have basic knowledge of HIPAA and California State Confidentiality laws that impact the release of medical information.
• Superior customer service skills including oral, written, and listening skills in dealing with patients, physicians’ office staff, co-workers, and payers.
• Good organizational skills and flexibility.
• Ability to make reasonable independent decisions in the absence of immediate direct supervision that stay within hospital and department guidelines.
• Works as a team player assisting co-workers during periods of peak workloads and short staffing.
• Must possess the ability to multi-task and reprioritize workload in order to meet deadlines.
• 30 CWPM Data entry, ten-key skills required, basic filling skills, alphabetic, numeric and basic math skills required.
• Ability to interpret contract and rate sheets for insurance.

Nice To Haves

• Two years of facility billing desired.
• Understanding of governmental agencies, commercial insurances, state & county compliance guidelines with regards to billing preferred.

Responsibilities

• Accurate and timely completion of duties related to the billing of all hospital and home health claims assigned to the appropriate carrier.
• Pursuit of collection of all claims in a timely manner until payment is made by insurance carriers.
• Review and resolution of payment variances according to policy.
• Acting as a patient advocate with departmental and hospital staff, insurance carriers, and patients to resolve billing issues and promote customer satisfaction.
• Assisting with projects as needed.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED