Department:

Hospital Patient Billing Shift:

Primarily Days (United States of America)

Employee Type:

Regular Per Diem Type (if applicable):

Minimum Pay Range:

$22.69 - $27.23

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