Insurance Biller - Financial Services
Lima Memorial Hospital
Insurance Biller
Functioning within the Health Systems mission, values, objectives, policies and procedures and under the general supervision of the Billing Supervisor, the insurance biller is responsible for daily billing and follow-up of all insurance claims with third party payers either electronically through the use of computers and their applications or through printing and forwarding paper claims to the insurance companies which are unable to receive them electronically. Responsibilities include working through claims that are rejected through the clearinghouse, reconciling errors, and/or routing the claim to the denials management team. Responsibilities also include insurance follow up, denials and appeals including but not limited to calling insurance companies or checking online to obtain claim and payment status and payment status on a weekly basis; and for daily review and response to mail and voice mail messages.
Education: High school graduate or equivalent is preferred with an emphasis on a business curriculum strongly preferred. Licensure/Certification: N/A. Experience: A minimum of six months experience in billing is required. Previous experience billing in a health care setting and demonstrated understanding of Explanation of Benefits issued by payors are strongly preferred. Skills: Strong verbal, numerical and clerical skills and the documented ability to perform at a high level of efficiency and accuracy are required.
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