Biller II

Job Description

Job Description

Description: We are hiring in the following states: AR, AZ, CA, CO, FL, GA, IA, IL, MO, MT, NC, NE, NJ, NV, OK, PA, SD, TN, TX, VA, WA, and WI This is a remote position . Overview: As a healthcare revenue cycle business, we manage insurance claims and oversee timely claim resolution and payment processing for our clients. This role involves overseeing and completing the administrative responsibilities of billing insurance, correcting rejections, resolving billing rejections, collaborating with client teams to ensure the financial success of the healthcare organizations we support.

Client Environment & Role Focus:

This Biller II role supports a complex hospital client environment requiring strong technical expertise and hands-on execution. The ideal candidate will be comfortable working in settings with:

• Strong Louisiana Medicaid and Commercial billing knowledge preferred.
• Support of Hospital Billing (HB) workflows, including volume management and accuracy
• Advanced Hospital Billing (HB) knowledge, including problem-account investigation, payer rejection complexities, etc.
• Daily work within MedHost and Experian, with an understanding of its claims processes
• Advanced Hospital Denial (HB) knowledge, including problem-account investigation, denial resolution and follow up with payers.

• Prepare and submit billing data and medical claims (hospital and physician) to insurance companies in accordance with federal, state, and payer mandated guidelines.
• Comply with productivity standards while maintaining quality levels.
• Ensure proper hospital claim submission and payment through review and correction of claim edits, errors, and denials.
• Investigate, follow up with payers, and work claims as assigned.
• Perform posting billing adjustments.
• Ensure billing reroutes are worked timely and comply with company procedures.
• Conduct duties in a professional and timely fashion.
• Achieve maximum reimbursement for services provided.
• Punctual, dependable, and adapt easily to change.
• Must complete payor specific rules and regulations training.

Requirements & Qualifications:

• Experience with MedHost and Experian system preferred.
• High school diploma or equivalent required
• Associate's degree preferred
• 2+ years of work experience as a Medical Biller or similar role.
• Proficiency in Microsoft Office Suite, Teams, and virtual meeting platforms (GoToMeeting, Zoom).
• Proficiency with computers including Microsoft Office Suite/Teams, GoToMeeting/Zoom, etc.

Knowledge, Skills & Abilities:

• Knowledge of ICD-10 Diagnosis and procedure codes and CPT/HCPCS codes.
• Knowledge of rules and regulations relative to medical billing practices and regulations.
• Knowledge of revenue cycle data analysis and interpretation.
• Skilled in medical accounts investigation.
• Skilled in billing software and electronic medical records.
• Skilled in analytical and critical thinking.
• Skilled in professional writing and communication.
• Skilled in time management and organization.
• Ability to problem-solve and organize.
• Ability to multitask and manage time effectively.
• Ability to provide attention to detail.

Disclosure Statement:

As part of the Currance application and hiring experience, all candidates are subject to a criminal background check and a government exclusion check. The government exclusion check is a mandatory screening process that verifies whether an individual is listed on federal or state exclusion or watchlists, including but not limited to, the Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) and the System for Award Management (SAM.gov).

These screenings are conducted to ensure compliance with applicable federal and state laws and regulations, to protect the integrity of federally funded programs, the clients we support, and to prevent participation by individuals who are excluded due to fraud, abuse, or other misconduct. By submitting an application, candidates acknowledge and consent to these checks as a condition of employment or engagement.