Revenue Cycle Insurance Biller Collector
About The Position
As our Insurance Biller Collector, you will play a pivotal role in optimizing our revenue cycle management by ensuring the accurate and timely reimbursement of healthcare claims. You will serve as the primary liaison between our facility and insurance providers, leveraging your deep expertise in government and commercial payer guidelines to resolve complex billing discrepancies. By maintaining meticulous records and adhering to strict compliance standards, you will ensure the financial health of our organization while providing exceptional support to our patients and internal stakeholders. Every day you will manage a high-volume pipeline of accounts receivable, performing daily billing functions and proactively following up on outstanding claims to secure commitment for payment. You will be responsible for navigating the Cerner system to audit claims, submitting precise appeals for denials to maintain consistent cash flow, and documenting all interactions with clarity. Additionally, you will monitor trends in claims processing, troubleshoot insurance inquiries, and collaborate with your team to implement process improvements that streamline our billing workflow. To be successful in this role, you will need a detail-oriented mindset, strong analytical skills, and a comprehensive understanding of current billing regulations, including UB-04 and HIPAA requirements. You must demonstrate proficiency in managing conflicting priorities, professional communication, and the ability to work independently within a fast-paced environment. By staying current on evolving payer policies and maintaining the highest standards of accuracy, you will contribute significantly to the efficiency and success of our Patient Financial Services (PFS) department.
Requirements
- Two (2) years of hospital billing/collection experience or relevant healthcare provider claims experience in a high-volume medical environment (including health plan, hospital claims/reimbursement, and appeals experience).
- Demonstrated experience with AHCCCS, Medicare, government, and commercial payer guidelines.
- Proficiency with UB-04 billing requirements and processes.
- High School Graduate or Diploma.
- Previous experience working with computerized billing systems, word processing software, and spreadsheet applications.
Nice To Haves
- Four (4) years of hospital billing/collection experience or relevant healthcare provider claims experience in a high-volume medical/healthcare remote environment.
- Two years of relevant college education and experience.
- Completion of college-level business courses.
- Hands-on experience with Cerner and various billing clearinghouse platforms.
- Experience utilizing Google Workspace applications for administrative and collaborative tasks.
Responsibilities
- Process daily billing for accounts receivable to ensure prompt claims resolution.
- Conduct persistent follow-ups with insurance carriers to secure payment commitments.
- Submit timely appeals for denied claims to maximize revenue recovery.
- Maintain high-quality assurance (QA) and productivity standards as defined by fiscal goals.
- Utilize Cerner and related billing clearinghouse software to document and track account actions.
- Analyze billing trends to identify and address systemic processing issues.
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
