Professional Insurance Biller

Marshall Medical Center • Placerville, CA

2d

About The Position

The Professional Biller manages patient billing activities, including claim processing, payments, and revenue cycle management. The role serves as a liaison among healthcare providers, patients, and insurance companies to support accurate and efficient billing. Responsibilities include reviewing bills for accuracy, submitting and following up on insurance claims, resolving discrepancies, communicating with payers, responding to patient inquiries, performing collection activities, and complying with privacy and billing regulations. The position requires staying informed about changes to billing procedures and regulations.

This position is in the MMF Physician Clinic Billing department and is primarily day shift. It is listed as regular, per diem employment. The stated minimum pay range is $22.69–$27.23.

Requirements

• High school diploma or GED.
• At least 3 years of billing experience.
• Comprehensive working knowledge of medical terminology, CPT, HCPCS, ICD-10, insurance billing, and appeals processes.
• Knowledge and use of Office, PCs, Microsoft Office, EHR, Epic billing software, and basic office equipment.
• Basic knowledge of Knox-Keene, ERISA, and California state laws affecting billing.
• Basic knowledge of HIPAA and California state confidentiality laws affecting the release of medical information.
• Strong oral, written, and listening skills for dealing with patients, physicians’ office staff, coworkers, and payers.
• Good organizational skills and flexibility.
• Ability to make reasonable independent decisions within hospital and department guidelines when direct supervision is unavailable.
• Ability to multitask and reprioritize work to meet deadlines.
• 30 CWPM data-entry speed and ten-key skills.
• Basic filing skills, including alphabetic and numeric filing, and basic math skills.
• Ability to interpret insurance contracts and rate sheets.

Nice To Haves

• Current working knowledge of payers, including Medicare, Medi-Cal, RHC, commercial insurance, and workers’ compensation.
• Understanding of governmental agencies, commercial insurance, and state and county compliance guidelines related to billing.

Responsibilities

• Manage patient billing, claim processing, payments, and revenue cycle activities.
• Review bills for accuracy and submit and follow up on insurance claims.
• Resolve billing discrepancies and communicate with payers.
• Respond to patient inquiries and perform collection activities.
• Help ensure compliance with privacy and billing regulations.
• Stay informed about changes in billing procedures and regulations.
• Interpret insurance contracts and rate sheets.
• Assist coworkers during peak workloads and short staffing.

What This Job Offers

• Job Type: Part-time
• Education Level: High school or GED