Revenue Cycle Insurance Biller Collector

Revenue Cycle Insurance Biller Collector

Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation's largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 158 hospital-based locations, in addition to its home-based services and virtual care offerings.

The posted compensation range of $16.50 - $23.30/hour is a reasonable estimate that extends from the lowest to the highest pay CommonSpirit in good faith believes it might pay for this particular job, based on the circumstances at the time of posting. CommonSpirit may ultimately pay more or less than the posted range as permitted by law.

Job Summary and Responsibilities

As our Insurance Biller Collector, you will play a pivotal role in optimizing our revenue cycle management by ensuring the accurate and timely reimbursement of healthcare claims. You will serve as the primary liaison between our facility and insurance providers, leveraging your deep expertise in government and commercial payer guidelines to resolve complex billing discrepancies. By maintaining meticulous records and adhering to strict compliance standards, you will ensure the financial health of our organization while providing exceptional support to our patients and internal stakeholders.

Every day you will manage a high-volume pipeline of accounts receivable, performing daily billing functions and proactively following up on outstanding claims to secure commitment for payment. You will be responsible for navigating the Cerner system to audit claims, submitting precise appeals for denials to maintain consistent cash flow, and documenting all interactions with clarity. Additionally, you will monitor trends in claims processing, troubleshoot insurance inquiries, and collaborate with your team to implement process improvements that streamline our billing workflow.

Job Requirements

Required:

• Two (2) years of hospital billing/collection experience or relevant healthcare provider claims experience in a high-volume medical environment (including health plan, hospital claims/reimbursement, and appeals experience).
• Demonstrated experience with AHCCCS, Medicare, government, and commercial payer guidelines. Proficiency with UB-04 billing requirements and processes.
• High School Graduate or Diploma.
• Previous experience working with computerized billing systems, word processing software, and spreadsheet applications.

Preferred:

• Four (4) years of hospital billing/collection experience or relevant healthcare provider claims experience in a high-volume medical/healthcare remote environment.
• Two years of relevant college education and experience.
• Completion of college-level business courses.
• Hands-on experience with Cerner and various billing clearinghouse platforms.
• Experience utilizing Google Workspace applications for administrative and collaborative tasks.