Medical Biller III

TriHealth, Inc.•Norwood, OH

61d

About The Position

The Medical Biller III role is to have set duties similar to an Account Specialist II to assist other account specialists with difficult and complex accounts. In addition to the duties of an Account Specialist II, this person will take on special projects assigned by the Supervisor/Manager. Will interact with departments directly related to Patient Accounting. (i.e. Medical Records, Revenue Management, Managed Care.)

Requirements

High School Diploma or GED Degree or GED (Required)
5 - 7 years' experience (Required)
Must have extensive knowledge and experience in Billing, Payer policies, and appeals
Exceeds individual productivity incentive standards
Ability to train and assist others
Works without direct supervision
Shows good attitude and leads by example

Responsibilities

Works with little to no 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.
Responsible for new hire and refresher training.
Subject matter experts that demonstrate the ability to work independently, effectively managing tasks and responsibilities.
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.
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.

Stand Out From the Crowd

Upload your resume and get instant feedback on how well it matches this job.

Upload and Match Resume