Medical Biller Specialist

Central Louisiana Surgical Hospital•Alexandria, LA

About The Position

The Medical Biller Specialist generates insurance claims and patient statement billing in a timely and efficient manner in accordance with facility policies. This is a non-exempt position that reports to the Business Office Manager. The role works in an office environment and includes physical requirements such as frequent sitting, conversing, listening, handling objects or controls, and reaching. It also requires close vision and the ability to adjust focus, regularly lifting or carrying over 20 pounds and pushing or pulling over 25 pounds, and standing or walking at least two hours per day. Reasonable accommodations may be made for individuals with disabilities to perform the essential functions.

Requirements

High school graduate or equivalent.
At least two years of experience in a hospital or medical facility business office.

Nice To Haves

Experience with an automated billing system is preferred.

Responsibilities

Maintain standards for systematic, consistent, and timely filing of hospital claims.
Ensure claims pass edits for correctness according to payer requirements.
Review unbilled claims for correctness.
Meet the Facility’s adopted Key Performance Indicator standards.
Maintain current information about claims adjudication and payment policies for third-party payers and government intermediaries.
File secondary claims with appropriate insurers.
Provide management reports to the Business Office Manager as requested.
Assume other duties and responsibilities as necessary.
Comply with facility Standards of Behavior and complete required education assignments within the designated timeline.
Regularly report the status of current projects or workflow to the Business Office Manager.