Insurance Biller - Hospital Patient Billing

Department:

Employee Type:

Per Diem Type (if applicable):

Minimum Pay Range:

Job Description:

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.