Third Party Insurance Biller

1 day ago


Weymouth, Massachusetts, United States South Shore Health Full time
Job Title: Third Party Insurance Biller

South Shore Health is seeking a skilled Third Party Insurance Biller to join our team. As a key member of our Patient Accounts department, you will play a critical role in ensuring accurate and timely reimbursement for our patients.

Key Responsibilities:
  • Evaluate and process third-party insurance claims, ensuring compliance with federal, state, and insurance-specific regulations.
  • Initiate collection calls for payment on aged accounts receivable, up to the point of self-pay collections.
  • Generate reports for responsible insurance plans and maintain online collection worklists and claims editing software for maximum efficiency.
  • Ability to decipher reimbursement schemes for assigned insurance plans to complete the revenue cycle.
Requirements:
  • Maintains up-to-date knowledge of all Federal, State, and Insurance-specific billing regulations, policies, procedures, and code sets.
  • Retains knowledge of Hospital Credit Collection Policy.
  • Evaluates daily claim file using online claim editing software for submission of UB92 and 1500 claim forms.
  • Initiates claim corrections as defined by insurance regulation and hospital policy.
Working Conditions:

This is a full-time position, working Monday through Friday, 7am to 3:30pm. The ideal candidate will have excellent communication and organizational skills, with the ability to work independently and as part of a team.

We offer a competitive salary and benefits package, as well as opportunities for professional growth and development. If you are a motivated and detail-oriented individual who is passionate about delivering exceptional patient care, we encourage you to apply for this exciting opportunity.



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