Insurance Biller/Collector

Overview Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community! Paradise Valley Hospital, a member of Prime Healthcare, offers incredible opportunities to expand your horizons and be part of a community dedicated to making a difference. Paradise Valley Hospital is the South Bay’s oldest hospital, the second oldest hospital in all of San Diego County, and the largest employer in National City. For more than 100 years, Paradise Valley Hospital has served San Diego faithfully, proud of our heritage and providing numerous programs and services to meet the changing needs of our community. Our 291-bed, acute care hospital features the San Diego Spine & Joint Center, a highly credentialed acute rehabilitation center, our Paradise Health & Senior Center, a fully equipped and modern cardiac catheterization lab, and comprehensive inpatient and outpatient surgical services, and 24-hour emergency services. In addition to our healthcare services, we offer comprehensive behavioral health services on the hospital campus and Bayview campus in Chula Vista. Services include psychiatric continuum of care for adult patients, inpatient services, and intensive outpatient services. Learn more at Responsibilities The Biller is responsible for submitting claims to the appropriate intermediaries and for ensuring that procedures and charges are coded in compliance with all payers including Medi-Cal and/or Medicare regulations. The Biller obtains required authorizations necessary for processing and payment of claims, follows up and manages denials as necessary for final resolution, and identifies the various types of diagnosis and procedure codes (ICD-9, CPT, HCPCS, DRG) as they relate to reimbursement. The Biller communicates clearly and efficiently by phone and in person with clients and staff members, maintains productivity standards and reports, obtains updated demographic information and all necessary information needed to comply with the various Government Programs billing requirements, operates a computer to input follow-up notes and retrieve collection and patient information, and maintains proficiency in medical terminology. Qualifications Previous Billing Experience within a hospital Business Office required. Previous experience with government programs and collections preferred. Knowledge of medical terminology. Effective written and verbal communication skills. Ability to multi-task, prioritize needs to meet required timelines. Analytical and problem-solving skills. Customer services experience required. High School Graduate or GED equivalent required (effective 4/1/14 for all new hires). Pay Transparency Paradise Valley Hospital offers competitive compensation and a comprehensive benefits package that provides employees the flexibility to tailor benefits according to their individual needs. Our Total Rewards package includes, but is not limited to, paid time off, a 401(k) retirement plan, medical, dental, and vision coverage, tuition reimbursement, and many more voluntary benefit options. A reasonable compensation estimate for this role, which includes estimated wages, benefits, and other forms of compensation, is $21.00 to $22.56. Employment Status Full Time Shift Days Equal Employment Opportunity Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Privacy Notice Privacy Notice for California Applicants: #J-18808-Ljbffr