The Revenue Cycle Biller will work on all billing and payment-related functions. This role will undertake a variety of financial and non-financial tasks to ensure timely submission and processing of claims, timely payment posting, and will work with Revenue Cycle Billing Supervisor and/or Manager on projects as assigned.
ESSENTIAL FUNCTIONS
- Reviews and processes all charges and data entered in the system for claims,
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Submits claims to insurance companies daily.
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Performs all defined payment and cash posting functions for Electronic Fund Transfers and paper checks.
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Assists in the collection of insurance payments.
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Appeals, trouble shoots, and prepares denied claims for rebilling, inquires, and corrects unpaid claims for re-submission.
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Requests and follows up on additional information as needed for auditing of claims and all revenue reports including eligibility, benefits, and provider information.
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Audits claims daily to ensure timely collections. Reviews Explanation of Benefits (EOB’s) to ensure compliance with billing practices.
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Processes all correspondence related to billing.
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Maintains regular and predictable attendance.
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Perform other duties as requested.
Position Qualifications
Minimum Qualifications: ·
- High school diploma or General Education Development (GED)
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Understanding of medical billing and payments.
Preferred Qualifications:
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Experience with eClinicalWorks or other Electronic Health Records (EHR) systems.
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Administrative experience, preferably in a health care setting.
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Bilingual Spanish