Medical Biller I

TriHealth•Norwood, OH

5d•Onsite

About The Position

Grow your billing career in a supportive, high‑performing team. As a Medical Biller I, you’ll play a key role in ensuring accurate claims, timely reimbursement, and exceptional service for patients and payers - all while building your expertise with industry‑leading systems and ongoing learning opportunities. Apply today and grow your career with a team that truly values you.

Requirements

High School Diploma or GED or GED (Required)
1 - 2 years’ experience in related field (Required)
Billing and Payer knowledge of Hospital and/or Physician Billing
Working knowledge of ICD-9, ICD-10, and CPT terminology

Responsibilities

Ensuring timely claim submission, follow up with no response from payers, payer rejections, correspondence, and contract variances and appealing denials based on HB or PB requirements.
Ensuring proper account documentation in the facility's billing system.
Providing excellent customer service skills by answering patient and third-party questions and/or addressing billing concerns in a timely and professional manner.
Reviews, investigates, and resolves credit balances.
Participates willingly in payer communication, team huddles and supports others in sharing information and keeping up to date.
Knowledge of systems used to include EPIC, Availity, and all payor portals.
Consistently produces quality work and actions to move a claim to proper payment or account resolution while maintaining assigned work queues.
Completes assigned workload based on key performance indicators daily to ensure standard productivity is met.
Meets or exceeds approved target; collects 100% of net revenue booked based on remittance.
Decreases AR greater than 90 days for Insurance accounts as set by department each year. Lower is better.