Biller Jobs

About The Position

Requirements

• Two years' experience in professional billing.
• High school graduate or above preferred.
• 2 years of hospital and/or physicians billing required.
• Excel, Word and windows-based computer skills are required.
• Strong analytical skills needed to meet assigned objectives.
• Working knowledge of standardized health care CPT, HCPC and ICD10 coding.

Responsibilities

• Maintains up-to-date knowledge of all Federal, State and Insurance specific billing regulations, policies, procedures and code sets.
• Retains knowledge of Hospitals Credit Collection Policy.
• Notifies manager of any changes that would affect claim submission.
• Evaluates daily claim file using online claim editing software for submission of 1500 claim forms.
• Initiate claim corrections as defined by insurance regulation and hospital policy.
• Evaluate unresolved accounts weekly, contact outside departments as needed and submit status to manager weekly to resolve unbillable accounts.
• Initiate collection of aged accounts receivable through an automated collector work list.
• Generate reports as needed for collection of aged accounts receivable.
• Accumulate at the beginning of each month or as requested a listing of unresolved/open accounts with aging greater than 120 days for manager review.
• Evaluate insurance reimbursement schemes as needed to verify that payments and adjustments have been accurately recorded.
• Communicate with patients as needed for additional insurance or other information needed in order to process a claim.
• Generate phone calls or letters as needed to obtain necessary insurance or other related information, prior to an account being placed in self-pay.
• Obtain proper verification of predefined patient demographic information and maintain documentation in order to verify identity.
• Uses the API payroll system to enter time worked, sick days, vacations and holidays.
• Uses Epic to access and run reports.
• Uses Microsoft Outlook as a communication tool.
• Access provider web sites for verification of accounts.
• Fosters a “Culture of Safety” through personal ownership and commitment to a safe environment.
• Successfully answers safety questions in the annual mandatory education packet.
• Maintains a neat, organized work environment.
• Adheres to respiratory etiquette guidelines.
• Attends and participates in staff meetings, in-service meetings and other activities as related to job performance.
• Attend seminars, workshops and training sessions offered by providers.