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Insurance Biller

2 months ago

Alamogordo NM United States Christus Health Full time
Description

Demonstrates knowledge and skills necessary to provide services based on the physical, psychosocial, educational, safety, and other related criteria appropriate population in his/her assigned area
Maintains required core competencies.
Complies with set Policies and Procedures (i.e. name tag, dress code, parking, smoking, etc.)
Submits all clean claims to the appropriate insurance payer the same day as the claim is received with the exception of weekends.
Reviews payer EOB’s but not limited to payment accuracy, patient liability, and appeal grievances if applicable.
Files appeals on denied claims and/or forwards to the Lead Patient Account Analyst for review if applicable
Maintain better than an 80% clean claim average.
Attach but not limited to the medical records, time records, and itemized bill to the claim when applicable
Process incoming mail correspondence from the payers within 5 business days
Work assigned billing reports within 2 business days
Follow up with the insurance companies by phone and or web for the status of outstanding claims if applicable
Respond to patient inquiries regarding the status of the patient’s insurance within 2 business days
Submit newborn notifications to income support if applicable
Review/resolve the accounts on the Missing Slips Report daily (accounts that are on hold and haven’t been processed).
Enter detailed notes explaining account activity in Athena
Take payments over the phone.
Print UB and 1500 hardcopy claims when required by the payer
Bill secondary claims before the timely filing deadline
Research late charges to determine the cause; inform your supervisor if they are a regular occurrence.
Handle incoming correspondence and inquiries on accounts.
Report trends/issues to Supervisor
Follow up with all insurance companies within 30 days of billing if there is no payment on the account if applicable
Forward patient complaints regarding care to your supervisor for entry into the appropriate resolution pathway
Performs other duties as assigned

Requirements

Education

Required:

High School

Licenses & Certifications

Required:

C-Heartsaver