Medical Biller II

TriHealth•Norwood, OH

1h•Onsite

About The Position

At TriHealth, your expertise in medical billing directly supports our mission to deliver exceptional patient care. As a Medical Biller II, you’ll be part of a collaborative, high‑performing team that values accuracy, integrity, and continuous improvement. Your work ensures clean claims, timely reimbursement, and a smooth financial experience for our patients, and we recognize the importance of that impact. TriHealth offers career growth opportunities, a comprehensive benefits package.

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

Assisting the lead medical biller and fellow billing staff in submitting accurate clean claims, ensuring timely follow up.
Collaboration with other teams to ensure denied claims are appealed as needed.
Cross-training to work with different payers to help assist other billing staff.
Reviews, investigates, and resolves credit balances.
Ensures the proper 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.
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 daily 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. Lower is better.