jobapplier

Professional Insurance Biller

Marshall

Responsibilities

  • MMF Physician Clinic Billing Shift: Primarily Days (United States of America) Employee Type: Regular Per Diem Type (if applicable): Minimum Pay Range: $22.69 - $27.23 Job Description: POSITION SUMMARY The Professional Biller is vital to healthcare operations, responsible for managing all aspects of patient billing, including claim processing, payments, and revenue cycle management.
  • They serve as a liaison between healthcare providers, patients, and insurance companies to ensure accurate, efficient billing processes.
  • Key duties include reviewing bills for accuracy, submitting and following up on insurance claims, resolving discrepancies, and communicating with payers.
  • They also are a resource regarding patient inquiries, perform collection activities, and ensure compliance with privacy and billing regulations.
  • Staying informed of changing billing procedures and regulations is essential to maintain efficient and compliant billing operations.

Requirements

  • High school diploma or GED required.
  • Minimum 3 years’ billing experience required.
  • Comprehensive working knowledge of medical terminology, CPT, HCPCS, ICD-10, insurance billing and appeals processes.
  • Knowledge and use of Office, PC, Microsoft Office, EHR, Epic billing software, and basic office equipment.
  • Current working knowledge of various Payers; Medicare, Medi-Cal, RHC, Commercial, workers compensation and other claims preferred 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.