Senior Government Biller-Patient Accounting

Sherman Oaks Hospital•Los Angeles, CA

7d•$26 - $29

About The Position

At Sherman Oaks Hospital, the Biller is responsible for billing insurance companies, workers’ compensation carriers, and HMO/PPO carriers. The role audits patient accounts to ensure procedures and charges are coded accurately, corrects billing errors, and identifies stop-loss claims, implants, and missing codes. The Biller maintains proficiency in medical terminology. The role also follows up on insurance balances as needed to help ensure timely payment. It involves communicating clearly and efficiently by phone and in person with clients and staff, maintaining productivity standards and reports, obtaining updated demographic and other information needed for insurance billing, and using a computer to enter follow-up notes and retrieve collection and patient information. The Biller writes effective appeals to insurance companies. Sherman Oaks Hospital is a 153-bed, not-for-profit, acute-care community hospital in Sherman Oaks, California. It provides 24/7 emergency care and specialized medical, surgical, and diagnostic services.

Requirements

Knowledge of multiple insurance billing requirements and 1–2 years of billing experience.
Knowledge of CPT, HCPCS, and Revenue Code structures.
Effective written and verbal communication skills.
Ability to multitask and prioritize needs to meet required timelines.
Analytical and problem-solving skills.
High school graduate or GED equivalent required.

Responsibilities

Bill insurance companies, workers’ compensation carriers, and HMO/PPO carriers.
Audit patient accounts to ensure procedures and charges are coded accurately and correct billing errors.
Identify stop-loss claims, implants, and missing codes.
Follow up on insurance balances to help ensure timely payment.
Communicate by phone and in person with clients and staff members.
Maintain productivity standards and reports.
Obtain updated demographic information and other information needed to meet insurance billing requirements.
Use a computer to enter follow-up notes and retrieve collection and patient information.
Write effective appeals to insurance companies.
Maintain proficiency in medical terminology.