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Insurance Biller - Hospital Patient Billing

Insurance Biller - Hospital Patient Billing

Marshall Medical CenterPlacerville, CA, US
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Job Title : Insurance Biller

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 filing skills, alphabetic, numeric and basic math skills required.
  • Ability to interpret contract and rate sheets for insurance.
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    Hospital Biller • Placerville, CA, US

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