Medical Biller I

6 days ago

Cincinnati, Ohio, United States TriHealth Inc. Full time $45,000 - $65,000 per year

Job Overview:The level II Medical Biller's general responsiblities include assisting the lead medical biller and fellow billing staff in submitting accurate clean claims, ensuring timely follow up. Collaboration with other teams will be needed to ensure denied claims are appealed as needed. Medical Biller II should be cross trained to work different payers to help assist other billing staff. Reviews, investiges, and resolves credit balances. Medical Biller II will ensure the proper documentation in the facility's billing system. Responsible also to provide excellent customer service skills by answering patient and third party questions and/or addressing billing concerns in a timely and professional manner.Job Requirements: High School Diploma or GED or GED (Required)3 - 4 years experience in related field (Required)Billing knowledge that includes: ICD-9, ICD-10, and CPT terminologyEpic and Clearing House experienceWorking knowledge of insurance policies and appeals Consistently meetsindividual productivity incentive standards Job Responsibilities: Knowledge. Works with little supervisory oversight and exercises appropriate judgement in identifying payer trends. Identifies and appropriately communicates process improvement with team lead and supervisor in a timely manner. Maintains a close working relationship with all departments and consolidates efforts to ensure appropriate and standardized coding/billing procedures are followed.Quality Review. Consistently produces quality work and actions to move a claim to proper payment or account resolution while maintaining assigned work queues.Personal Productivity. Completes assigned workload based on key performance indicators on a daily basis to ensure standard productivity is met.Patient Accounting Cash. Meet or exceed approved target; collect 100% of net revenue booked based on remittance.Aging. Decrease AR greater than 90 days for Insurance accounts as set by department each year. Lower is better. Working Conditions: Climbing - RarelyConcentrating - ConsistentlyContinuous Learning - FrequentlyHearing: Conversation - FrequentlyHearing: Other Sounds - RarelyInterpersonal Communication - RarelyKneeling - RarelyLifting

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