Medical Biller Patient Accounts Full Time
About The Position
As a Medical Biller at Pine Rest, you’ll be part of tight-knit team that believes in the healing power of your expertise and compassion. The Medical Biller, according to general directives and established departmental and or Pine Rest Christian Mental Health Services policies and procedures, independently performs administrative duties related to billing, to include but not limited compiling data, generating claims for services rendered, and compiling fees and charges. The Medical Biller is are dedicated to excellent customer service, enthusiastic about the care we offer, and foster a sense of belonging and empowerment in a diverse workplace.
Requirements
- High School diploma or equivalent required.
- Six months experience in related field required, experience in healthcare-related field preferred.
- Knowledge of Medical terminology and/or healthcare revenue cycle experience preferred.
- Work requires the ability to read, understand and follow directions, and do computations.
Responsibilities
- Ensures the accuracy and completeness of patient financial, insurance and demographic patient information to ensure compliant claims to Third party payers.
- Submit claims to payers assuring claims meet the clean claim definition to assure timely and accurate payment.
- Maintain knowledge of payer regulations, contracts and billing requirements and act as a resource to clinical sites regarding these requirements.
- Contact insurance companies to obtain preauthorization (in some departments), resolve outstanding balances, incorrect payments, claim denials or information needed to adjudicate claims.
- Work with clinical areas to resolve rejections and determine collectability or need for adjustment.
- Process payment/claim resolution documents, making determinations on balances based on contractual arrangements and insurance coverage.
- Review insurance credits and take appropriate steps to resolve credit.
- Maintains quality and productivity standards set by management.
- Documents all account activity in the account notes.
Benefits
- Medical, dental, vision & life insurance plans
- 403(b) retirement match contribution by Pine Rest
- Generous PTO for full and part time employees
- Tuition assistance & loan forgiveness
- Employee Assistance Program offering many free and discounted services for therapy, legal, accounting, gym membership, etc.
- Partnership with Davenport University provides generous discount on tuition for employees and family members.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
Number of Employees
251-500 employees
