Insurance Biller

JOB SUMMARY Under the direct supervision of the Patient Financial Services Manager, the Insurance Billers work to ensure timely billing and reimbursement of claims to insurance carriers.Candidate will be a goal-oriented, revenue-driven, highly accurate and motivated biller. Strong analytical and problem-solving skills are necessary as this position processes claims by generating reports and researching. Proficiently perform duties in both professional and facility billing platforms. This position is a highly valued member of our team requiring a professional, efficient, organized individual with an attention to detail, ability to manage time effectively and a strong self-motivation sharing in a goal for providing quality and efficient service. ESSENTIAL FUNCTIONS Compile and submit claims to insurance companies based on data provided by the medical coders with goal of zero errors. Complete account follow-up daily, maintaining established goals and notifies the business office supervisor, when necessary, of issues preventing achievement of such goals. Use reporting system to follow up on inappropriately paid accounts by contacting payers, processing payer correspondence, rebilling, working denials and conducting appeals to obtain the highest possible reimbursement and ensure patient satisfaction. Compliant with HIPAA privacy requirements for patient and protects confidential information. Ability to multi-task and work courteously and respectfully with fellow employees, clients and patients. Other duties as assigned to support the overall effectiveness of the department and organizational performance in accordance with Curry Health Network's Mission, Vision and Shared Values. SHARED VALUES Service: We serve with compassion and understanding. Teamwork: We are one team - each one of us makes a difference. Curiosity: We promote learning. Integrity: We live by honesty, trust, and doing the right thing by our organizational values. MINIMUM JOB REQUIREMENTS Education & Experience High School Diploma or general education degree (GED) is required. Medical Biller Certification or prior experience preferred. Working experience with all payer types including: commercial, governmental, Medicare, Medicaid, HMO, etc. and the ability to cross-over into different payers preferred. Required Knowledge, Skills & Abilities Proficient at reading, writing, and communicating in English; overall excellent communication skills. Bilingual skills are a plus. Excellent organizational and time management skills. Strong analytical and problem-solving skills. Ability to maintain composure in difficult situations. Knowledge of revenue cycle processes including: health insurance verifications, billing, collections, and cash posting functions preferred. PHYSICAL REQUIREMENTS Physical Demands On-the-job time is spent in the following physical activities: None of the time: Taste or Smell Up to 1/3 of the time: Sit, Push/Pull, Stoop/Kneel/Crouch or Crawl From 1/3 to 1/2 of the time: no requirement Up 2/3 of the time and more: Stand, Walk, Talk or Hear, Use Hands, Reach w/hands & arms This job requires that weight be lifted, or force be exerted as follows: Up to 1/3 of the time: up to 25 pounds This job has special vision requirements as follows: Close, distance, color, depth perception and the ability to adjust focus. Work Environment This job requires exposure to the following environmental conditions: Up to 1/3 of the time: outdoor weather conditions The typical noise level for the work environment is: moderate noise Hearing requirements: ability to hear instructions. This job requires the following repetitive motion actions: From 1 - 2 hours per day: grasping firm/heavy, grasping simple/light, fine dexterily From 7+ hours per day: repetitive use of hands Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c)

Created: 2024-10-29