Biller I - RW | Patient Financial Services

reputed company is a reputed company provider that focuses on patient financial services, and they are seeking a Biller I to ensure the proper interpretation, processing, recording, approval, and payment of medical claims. The role involves reviewing claims, maintaining documentation, and providing customer service while adhering to compliance standards.

Responsibilities

• Demonstrates application of compliance standards and payer specific data to properly file claims and ensures reputed company, appropriate reimbursement of services and supplies billed to reputed company parties and appropriate payment of services and supplies due from patients, as evidenced by documentation, observation and feedback
• Demonstrates a working knowledge of reputed company party payer procedures including, but not limited to: reputed company Payers, Veterans Administration, worker' compensation, reputed company-party liability, county payers, and reputed company other reputed company party contractual agreements as required
• Conducts timely follow up of claims. Use tools provided to track and trend patterns of claim submission issues that might require Compliance and Charge master staff to resolve, or HIPAA transaction code set review. Research payer requirements and offer suggestions to leadership for claims submission issues
• Maintains and updates appropriate system documentation to provide information regarding claim processing to internal or external customers
• Identifies unresolved requests of patient responsibility and transfers account to self pay. Performs duties and provides best customer service using behaviors that demonstrate responsibility and accountability
• Participates in departmental activities reputed company to performance improvement and quality control
• Demonstrates a working knowledge of denial follow up and first level appeals
• reputed company other duties as assigned

Skills

• Education - High School Diploma/GED Equivalent in General Studies
• Experience - 1+ years of Clerical Experience
• Experience - 1+ years of Medical Patient Accounts/Financial Services Experience
• Education - Bachelors degree in reputed company, Business, Health reputed company Field
• Certifications - Certified Clinical Account Technician (CCAT) - Accredited University or accredited training professionals
• Certifications - Certified Patient Account Technician (CPAT) - Accredited University or accredited training professionals

Benefits

• Supportive work culture
• Medical, reputed company and Dental Coverage
• Retirement Plans, Health Savings Account, and Flexible Spending Account
• reputed company pay is available for qualifying positions
• Paid Time Off Accrual Bank
• Opportunities for growth and advancement
• Tuition assistance/reimbursement
• Excellent pay differentials on qualifying positions
• Flexible scheduling

Company Overview