Glendive Medical Center is seeking a full-time, non-exempt level position, Insurance Biller.
The Insurance Biller's general responsibilities include accurately billing patient accounts, ensuring timely claim submission and reimbursement from various third-party payers and patients, ensuring proper account documentation in the facility's billing system, and pursuing follow-up efforts on aged accounts under the guidance of the Patient Financial Services coordinator and the supervision of the Patient Financial Services manager.
Supervisory Responsibilities:
None
Duties/Responsibilities:
Works daily electronic billing file and submits insurance claims to third-party payers
Reviews, evaluates, and forwards manual patient account statements to payers that do not accept electronic claims or that require special handling.
Commercial Insurances
Assists with receipt of and correspondence related to EOBs and payer notices
Monitors bill holds and coordinates with other departments to resolve issues and facilitate timely claim submissions.
Documents billing activity on the patient account; ensures compliance with all applicable billing regulations and reports any suspected compliance issues to department manager.
Reviews claims for accuracy and coordinates with ancillary departments as needed to provide information for audits and/or record reviews.
Based on electronic payers' error reports, makes appropriate corrections to optimize the electronic claims submission process.
Monitors claim rejections for trends and issues; reports these findings to the PFS Coordinator, PFS manager and/or other departmental leaders.
Pursues prompt follow-up efforts on aged accounts.
Responds to patient concerns and/or complaints and keeps billing peers and departmental leaders apprised of these issues.
Participates in general or special assignments and attends required training sessions and meetings.
Required Skills/Abilities:
Strong computer skills (including MS Word and Excel)
Comfortability with billing technology (Cerner, Availity)
Ability to maintain accuracy while working on multiple tasks in a fast-paced environment under low- to- moderate supervision.
Excellent verbal and written communication skills, including professional telephone etiquette.
Ability to ensure confidentiality of sensitive information and maintain HIPAA (Health Insurance Portability and Accountability) compliance
Exceptional organization and time management skills
Education and Experience:
High school diploma or equivalent certification required
Associate degree preferred
1-2 years of customer service and/or business office experience preferred, ideally in a medical setting
Knowledge of basic patient accounting processes and healthcare terminology strongly preferred.
Physical Requirements:
Prolonged periods sitting at a desk and working on a computer.
Must be able to lift to 15 pounds at times.
Glendive Medical Center (GMC) conforms to all the laws, statutes, and regulations concerning equal employment opportunities and affirmative action.
We strongly encourage women, minorities, individuals with disabilities and veterans to apply to all of our job openings.
We are an equal opportunity employer and all qualified applicants will receive consideration for employment without any regard to race, color, religion, gender, national origin, disability status, protected veteran status, sexual orientation or gender identity, or any other characteristic protected by law.
GMC promotes a drug and alcohol-free workplace.
Offers of employment are contingent upon successfully passing pre-employment screenings.
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