Medical Biller II

TriHealth • Norwood, OH

54d

About The Position

Job Overview: The level II Medical Biller's general responsibilities include assisting the lead medical biller and fellow billing staff in submitting accurate clean claims, ensuring timely follow up. Collaboration with other teams will be needed to ensure denied claims are appealed as needed. Medical Biller II should be cross trained to work with different payers to help assist other billing staff. Reviews, investigates, and resolves credit balances. Medical Biller II will ensure the proper documentation in the facility's billing system. Responsible also for providing excellent customer service skills by answering patient and third party questions and/or addressing billing concerns in a timely and professional manner.

Requirements

• High School Diploma or GED or GED (Required)
• 3 - 4 years’ experience in related field (Required)
• Billing knowledge that includes ICD-9, ICD-10, and CPT terminology
• Epic and Clearing House experience
• Working knowledge of insurance policies and appeals
• Consistently meets individual productivity incentive standards

Responsibilities

• Works with little supervisory oversight and exercises appropriate judgement in identifying payer trends.
• Identifies and appropriately communicates process improvement with team leaders and supervisors in a timely manner.
• Maintains a close working relationship with all departments and consolidates efforts to ensure appropriate and standardized coding/billing procedures are followed.
• 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 on a daily basis to ensure standard productivity is met.
• Meet or exceed approved target; collect 100% of net revenue booked based on remittance.
• Decrease AR greater than 90 days for Insurance accounts as set by department each year.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees