Patient Biller
Patient Biller
Posted on :
12-03-2025
Employer Active
1 Vacancy
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Monthly Salary
$ $ 45000 - 50000
Vacancy
1 Vacancy
Posted on :
12-03-2025
Job Description
Please Note:
- This is 100 OnSite position 40 total hours in 1 week).
- Shift: Day 5x8Hour 08:00 16:30
- Candidate must have hospital billing experience.
- COVID19 Vaccine is must.
- Flu Vaccine is must (No Exemptions)
Job Summary:
- The Patient Accounts Specialist Biller prepares and followsup all third party and patient bills as organized and directed by the Patient Finance Manager/Director.
Job Duties:
- Work aged receivable utilizing A/R reports and received correspondence and other department inquiries.
- Review and assess adjudicated claims for timely and proper payment of outstanding balances.
- Research correct and resubmit or reprocess unpaid claims as necessary.
- Submit adjustment request daily as necessary.
- Verify validity of account balances by researching review and ensuring accuracy of charges payments and adjustment posting and ensure account balances are assigned to the correct payer buckets.
- Review and interpret Explanation of Benefits (EOB) for denials and underpayment of codes.
- Research and resolve denials and underpayments with insurance carriers.
- Identify payer denial trends.
- Confirm insurance eligibility and confirm carrier policy for referral and auth requirements as needed for claim adjudication.
- Submit carrier appeals and reconsideration request in a timely manner.
- Identify and submit the required insurance refund request to refund specialist according to policy and procedure.
- Meet productivity goals/benchmarks as set and communicated Department leadership.
- Serve as a customer service representative for patient inquiries/calls.
- Maintain confidentiality of patient information.
- Work collaboratively with other departments and coworkers as needed.
- Attend quarterly payer meeting with respective payers.
Requirements
Basic Qualifications:
- High School Diploma or GED.
- 3 years prior experience in hospital collections. Strong payer knowledge base. Extremely accurate with figures and data entry.
Knowledge Skills and Abilities:
- Must have hospital billing experience.
- Strong analytical skill a must.
- Must be able to work unsupervised.
- Must be able to work with a calculator PC and Excel.
- All other duties as assigned or requested.
- Other Requirements Specific to Assigned Area.
Basic Qualifications: High School Diploma or GED. 3 years prior experience in hospital collections. Strong payer knowledge base. Extremely accurate with figures and data entry. Knowledge, Skills and Abilities: Must have hospital billing experience. Strong analytical skill a must. Must be able to work unsupervised. Must be able to work with a calculator, PC and Excel. All other duties as assigned or requested. Other Requirements Specific to Assigned Area. Benefits: Holiday Benefit: 10 Holidays per year Vacation Benefit: 10 Vacation Days per year. Accrued on weekly basis. Sick Leave Benefit: 5 Personal/Sick Leaves per year. Accrued on weekly basis Medical Insurance Reimbursement Benefit: Medical Insurance Allowance QSEHRA Reimbursement (Eligibility date dependent on enrollment.Employee purchase own plan) AFLAC Supplemental Insurance Plan: AFLAC Supplemental Insurance Plan 401 (K) Retirement Plan: 401 (K) Retirement Savings Plan Salary Range: $45000 - $50000 with benefits
Employment Type
Full Time
Key Skills
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