Insurance Biller
Gridley-CA-95948-United States
$21.00-$23.00
The Insurance Biller is responsible for billing (UB04 and 1500 forms), follow-up and accounts receivable activities for Insurance claims for Hospital and RHC. This position is part of Billing Services and includes insurance in the following classifications:
- Medicare
- Medi-Cal
- Managed Medi-Cal
- Insurance
- Worker’s Compensation
- Crossover
Qualifications:
- High School Diploma/GED.
- Computer experiences required.
- Experience in healthcare or medical related billing (UB04 and 1500)
- Knowledgeable in CPT/HCPC codes, diagnosis, medical terminology.
- Able to understand RAs and EOBs.
Job Requirements:
- Billing all Insurance claims. This includes Hospital, Outpatient, Clinic and SNF claims, with daily focus on attaining productivity and quality standards.
- Electronic Billing
- Hardcopy Billing
- Monitor accounts receivable daily through collector work lists (ATB).
- Responsible for all accounts/follow-up for any claims with problems and making sure that they get processed. This includes analyzing, investigating and resolving unpaid claims and securing payment.
- Denial Management duties such as but not limited to corrections, resubmissions and confirmations.
- Works with HIM in requesting needed medical records.
- Maintains all documentation and records in accordance with federal, state and facility requirements.
- Works with Revenue Cycle Director and CFO during yearly audits in providing requested data and information.
- Responsible for monitoring publications to stay current with billing guidelines related to assigned insurance classifications.
- Responsible for reporting to the Revenue Cycle Director all issues related to insurance claims that have impact on timely reimbursement.
- Maintains assigned insurance classifications A/R at set goal for 90 days and older.
- Studer AIDET fundamentals are used for customer service (external and internal). Applies these fundamentals in answering questions and/or concerns for patients.
- Responsible to ensure no violation in privacy with patient information/care.
- Responsible with working with the public and assisting them with their bills.
- Ability to run reports from the follow-up list to the financial reports.
- Ability to read and analyze reports.
- Demonstrate effective communication with all members of the healthcare team to achieve desired outcomes and attend/participate in education, in-services, mandatory training and staff meetings per policy.
PI274355610
