Insurance Biller

Found in: Lensa US P 2 C2 - 2 weeks ago

Placerville, United States Marshall Medical Center Full time
Department

Hospital Patient Billing

Shift

Primarily Days (United States of America)

Employee Type

Regular

Per Diem Type (if applicable)

Minimum Pay Range

$21.00 - $25.38

Job Description

  • MUST BE ABLE TO WORK PACIFIC STANDARD TIME BUSINESS HOURS - FLEX START TIME 7:30AM-8:30AM PST *

POSITION SUMMARY

The Insurance Biller ensures the accurate and timely completion of duties related to the billing of all hospital and home health claims assigned to the appropriate carrier: pursues collection of all claims in a timely manner until payment is made by insurance carriers ensuring payment variances are reviewed and resolved according to policy. Acts as a patient advocate with departmental and hospital staff, insurance carriers and patients in order to resolve billing issues and promote customer satisfaction. Assists with projects as needed.

POSITION QUALIFICATIONS

Education/Licensure/Certification:

  • High school graduate or equivalent required.

  • Completion of on-line duty specific training required within 90 days of job start date.


Knowledge

  • Two years of facility billing desired.

  • Working knowledge of Microsoft and Office products, and basic office equipment required.

  • Understanding of governmental agencies, commercial insurances, state & county compliance guidelines with regards to billing preferred.

  • Must have basic knowledge of Knox-Keene, ERISA and California State laws that impact the billing process.

  • Must have basic knowledge of HIPAA and California State Confidentiality laws that impact the release of medical information.


Skills

  • Superior customer service skills including oral, written, and listening skills in dealing with patients, physicians' office staff, co-workers, and payers.

  • Has good organizational skills and flexibility.

  • Ability to make reasonable independent decisions in the absence of immediate direct supervision that stay within hospital and department guidelines.

  • Works as a team player assisting co-workers during periods of peak workloads and short staffing.

  • Must possess the ability to multi-task and reprioritize workload in order to meet deadlines.

  • 30 CWPM Data entry, ten-key skills required, basic filling skills, alphabetic, numeric and basic math skills required.

  • Ability to interpret contract and rate sheets for insurance.