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. The role maintains accurate and timely claim submission, reviews claims for correctness, and keeps current on third-party payor and government intermediary adjudication and payment policies. The position reports to the Business Office Manager and is classified as non-exempt. This role works in an office environment. The employee is frequently required to sit, converse, listen, handle objects or controls, and reach with their hands and arms. The job 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 to enable individuals with disabilities to perform the essential functions.

Requirements

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

Nice To Haves

Experience with an automated billing system.

Responsibilities

Maintain standards that ensure systematic, consistent, and timely filing of hospital claims.
Ensure claims pass edits for correctness in accordance with payor requirements.
Review unbilled claims for correctness.
Meet the standards established in the facility’s adopted Key Performance Indicators.
Maintain current information on claims adjudication and payment policies for third-party payors and government intermediaries.
File secondary claims with the 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.
Report regularly to the Business Office Manager on the status of current projects or workflow.