Insurance Biller

Insurance Biller

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 filing skills, alphabetic, numeric and basic math skills required.
• Ability to interpret contract and rate sheets for insurance.