Insurance Claim Biller

HUMBOLDT GENERAL HOSPITAL•Winnemucca, NV

6d•Onsite

About The Position

Humboldt General Hospital is looking for an experienced Insurance Claim Biller familiar with claim submissions to insurance companies and experience working with SSI. This candidate will be responsible for submitting correct or self-corrected claims, working patients encounters via established work queues and communicating and coordinating with revenue cycle colleagues. Attention to detail and superior customer service skills is necessary.

Requirements

MINIMUM EDUCATION: High School diploma or General Education Degree
MINIMUM EXPERIENCE: Basic knowledge of third-party insurance plans billing.
SPECIAL SKILLS: Excellent command of written and spoken English; must be able to communicate effectively when in contact with insurance carriers, third-party payers and patients. Must be able to learn and understand patient accounting policies and procedures and how the EHR computer system works. Intermediate knowledge of Microsoft Word and Excel and the ability to learn new programs and systems is necessary. Dependable in both productivity and attendance.

Nice To Haves

PREFERRED EDUCATION:
PREFERRED CERTIFICATIONS/LICENSES: CRCR
SPECIAL SKILLS: Cerner Community Works/Revenue Cycle and SSI experience is preferred.

Responsibilities

Submit correct clean claim to payors, or submit correction, of UB and/or 1500 claims forms. Review and process claims in various stages of revenue cycle in a timely manner.
Resolve encounters assigned via work queues and apply action when appropriate
Review claim edits from front and back-end scrubbers to reduce denials
Review edits received from SSI, correct claim and regenerate as appropriate.
Receives and takes calls from patients with insurance information updates such as COB
Receive, and take, Inbound and outbound calls with government payors and commercial insurance payors
Prepare and file insurance appeals in a timely manner
Work AR as assigned.
Modify charge grouping and registration when necessary for proper claim submission
Manage SSI web portal to include generating reports, working timely filing claims and troubleshooting claim submissions. Identify and log trending claim denials.
Maintains confidentiality adheres to all HIPAA guidelines/regulations
Other related duties as assigned.