Job Details

Req Id 86607
Department ACCTS RECEIVABLE & COLLECTION
Shift Days
Shift Hours Worked 7.50
FTE 1
Work Schedule GENERAL BENEFITS
Employee Status A1 - Full-Time
Union Non-Union

Job Summary

The A/R Biller is responsible to process all Inpatient and Outpatient accounts to all payors promptly and accurately in order to promote financial stability within the Hospital. Experience in billing Medicare, Medicaid, Commercial Insurance, HMOs, and Worker’s Comp/No Fault is required. Knowledge in ICD-9, ICD-10, HCPCS coding and medical terminology is a plus.

Core Job Responsibilities

• Promotes a professional working relationship with insurance companies. Knows each payor representative and uses them as a contact when necessary to resolve outstanding issue on claims.
• Determines whether payment from insurance billed is accurate, based on DRG, Contracted Rate, Per Diem, or Fee Schedule. Initiates an adjustment, if necessary, to bring account to the correct balance. Demonstrates thorough knowledge of rates for specific payor responsibility and advises management of any trends regarding inappropriate payments.
• Maintains account receivables for the Business Office. Makes phone calls to the appropriate payor to determine status of account and secure payment.
• Other duties as assigned

Education/Experience Requirements

Required: Two years experience in billing, insurance, office procedures in a medical setting

Required: Knowledge of general office equipment e.g. copier is required

Preferred: Course taken in book keeping or accounting

Licensure/Certification Requirements

Required: None

EOE AA M/F/Vet/Disability

Qualified applicants will receive consideration for employment without regard to their age, race, religion, national origin, ethnicity, age, gender (including pregnancy, childbirth, et al), sexual orientation, gender identity or expression, protected veteran status, or disability.

Successful candidates might be required to undergo a background verification with an external vendor.