Department:
Hospital Patient BillingShift:
Employee Type:
RegularPer Diem Type (if applicable):
Minimum Pay Range:
$22.69 - $28.37POSITION 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.
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