machine biller

Open Door Community Health Centers

<div>Committed to Our Community in the Heart of the Redwoods. Removing Barriers to Healthcare Access
Greenway Admin
The Biller I processes basic claim processing, payment entry, customer service and collections for services provided to patients in all of the ODCHC facilities as per ODCHC policies, coding rules and billing guidelines.
Compensation Range:
$25.50-$29.45
All new hires will begin at the base wage of this position.
Hmong and Spanish speakers who successfully pass a language exam will receive an additional .75 hourly differential to their wage.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
These essential responsibilities are performed within the context of collaboration and coordination within ODCHC&rsquo;s Billing Department and across multiple ODCHC departments and clinics.<ul><li>
Verifies eligibility and benefits and perform claim follow-up.</li><li>
Inputs and/or edits patient charges.</li><li>
Where appropriate, communicates with third party payers and patients regarding charges or payments, and provides basic customer service.</li><li>
Performs claim status checks and basic follow-up processes.</li><li>
Enters program, carrier, and patient payments and reconciles to Finance documents.</li><li>
Produces daily, weekly or monthly User Audit reports and monitors for accuracy.</li><li>
Other duties and responsibilities as designated by supervisor.</li><li>
Adherence to ODCHC attendance policy.</li></ul>
QUALIFICATIONS:
The successful candidate will possess experience and skills spanning a variety areas:<ul><li>
Computer skills, including familiarity with databases, spreadsheets, and word processing software.</li><li>
Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals.</li><li>
Ability to read and comprehend moderately complex instructions, correspondence, and memos.</li><li>
Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form.</li><li>
Ability to effectively present information in one-on-one and small group situations to customers, clients, and other employees of the organization.</li><li>
Ability to communicate effectively both orally and in writing.</li><li>
Excellent interpersonal skills. Ability to establish constructive working relationship with all levels of employees in a staff of varied and diverse backgrounds.</li><li>
Ability to deal with problems involving several concrete variables in standardized situations.</li><li>
Strong multi-tasking skills including ability to organize and prioritize work that involves meeting multiple and sometimes competing deadlines.</li><li>
Ability to handle difficult or confrontational situations in a calm, consistent manner and at all times demonstrate professional behavior with patients, colleagues, and management.</li><li>
Ability to work in a strong, cohesive TEAM environment.</li></ul> 
SUPERVISORY RESPONSIBILITIES: None.
SUPERVISION AND SUPPORT: Biller I is supervised by the Billing Manager.
EDUCATION and/or EXPERIENCE:<ul><li>
High school diploma or GED.</li></ul>
PHYSICAL REQUIREMENTS: This is largely an office-based position. The physical requirements described are representative of those needed to successfully perform the essential duties of the position. Reasonable accommodation will be made to allow otherwise qualified candidates to perform these functions.<ul><li>
Ability to communicate via telephone, video, and/or in-person.</li><li>
Vision adequate to read documents, computer screens, forms.</li><li>
Ability to remain stationary for extended periods of time.</li><li>
Ability to lift, carry, or otherwise move up to 25 pounds.</li><li>
Ability to use keyboard and view computer screens for extended periods of time.</li><li>
Ability to travel locally and long-distance.</li><li>
Ability to move around offices and clinics as needed.</li></ul></div>

Biller I

UC Irvine Health

<div>Overview:
<div>
UCI Health is the clinical enterprise of the University of California, Irvine, and the only academic health system based in Orange County. UCI Health is comprised of its main campus, UCI Medical Center, a 459-bed, acute care hospital in in Orange, Calif., four hospitals and affiliated physicians of the UCI Health Community Network in Orange and Los Angeles counties and ambulatory care centers across the region. Listed among America&rsquo;s Best Hospitals by U.S. News &amp; World Report for 23 consecutive years, UCI Medical Center provides tertiary and quaternary care and is home to Orange County&rsquo;s only National Cancer Institute-designated comprehensive cancer center, high-risk perinatal/neonatal program and American College of Surgeons-verified Level I adult and Level II pediatric trauma center, gold level 1 geriatric emergency department and regional burn center. UCI Health serves a region of nearly 4 million people in Orange County, western Riverside County and southeast Los Angeles County.</div><div>
To learn more about UCI Health, visit www.ucihealth.org.</div>
Responsibilities: Position Summary:
The Biller IV is a Lead/Specialist and serves as a resource to other staff dealing with difficult accounts and needing help with troubleshooting. The Lead and/or Specialist may be assigned to a specialized area of PFS requiring advanced knowledge and will respond to questions from patients, physicians, payers and others to include attorneys regarding the status of accounts. Trains staff and assists supervisor in assessing staff competencies. Gathers productivity statistics and helps identify trends, assisting in the resolution as appropriate. Acts as a liaison between Patient Financial Services and contracted vendors. The identification of essential functions below is not intended to be an exhaustive list of all duties that may be assigned to this position, nor does it restrict the duties which may be assigned to this position if such duties reasonably relate to the position.
Qualifications: Required Qualifications: 
<ul><li>
Skilled at using computerized systems and applications to maintain/update patient accounting information
</li></ul><ul><li>Good math skills to perform a variety of calculations related to patient accounting
</li></ul><ul><li>Excellent communication skills to effectively interact with PFS staff, leaders of the organization, payers, patients and their families and the external community
</li></ul><ul><li>Effective data and numerical data entry skills
</li></ul><ul><li>Demonstrated experience in CPT, HCPC and ICD billing codes, authorization requirements and related documentation
</li></ul><ul><li>Advanced knowledge of revenue cycle processes gained from previous related work experience in a healthcare setting
</li></ul><ul><li>Advanced knowledge of a variety of non-governmental and governmental payers
</li></ul><ul><li>Ability to train staff and assist in assessing related competency proficiency
</li></ul><ul><li>Ability to resolve routine and non-routine errors independently and to assist others in problem solving
</li></ul><ul><li>Ability to facilitate cash collection on patient accounts
</li></ul><ul><li>Ability to be a resource to staff for problematic and difficult accounts
</li></ul> 
Preferred Qualifications: 
<ul><li>
Prior experience as a lead</li></ul> 
 
Total Rewards
We offer a wealth of benefits to make working at UCI even more rewarding. These benefits may include medical insurance, sick and vacation time, retirement savings plans, and access to a number of discounts and perks. Please utilize the links listed here to learn more about our compensation practices and benefits.

Conditions of Employment: 
The University of California, Irvine (UCI) seeks to provide a safe and healthy environment for the entire UCI community. As part of this commitment, all applicants who accept an offer of employment must comply with the following conditions of employment:<ul><li>
Background Check and Live Scan</li><li>
Employment Misconduct*</li><li>
Legal Right to Work in the United States</li><li>
Vaccination Policies</li><li>
Smoking and Tobacco Policy</li><li>
Drug Free Environment</li></ul><ul><li>Misconduct Disclosure Requirement: As a condition of employment, the final candidate who accepts a conditional offer of employment will be required to disclose if they have been subject to any final administrative or judicial decisions within the last seven years determining that they committed any misconduct; received notice of any allegations or are currently the subject of any administrative or disciplinary proceedings involving misconduct; have left a position after receiving notice of allegations or while under investigation in an administrative or disciplinary proceeding involving misconduct; or have filed an appeal of a finding of misconduct with a previous employer.
</li></ul>The following additional conditions may apply, some of which are dependent upon business unit or job specific requirements.<ul><li>
California Child Abuse and Neglect Reporting Act</li><li>
E-Verify</li><li>
Pre-Placement Health Evaluation</li></ul>
Details of each policy may be reviewed by visiting the following page: https://hr.uci.edu/new-hire/conditions-of-employment.php 

Closing Statement: 
The University of California is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or other protected categories covered by the UC Anti-Discrimination Policy.
 
 
We are committed to attracting and retaining a diverse workforce along with honoring unique experiences, perspectives, and identities. Together, our community strives to create and maintain working and learning environments that are inclusive, equitable, and welcoming.
 
 
UCI provides reasonable accommodations for applicants with disabilities upon request. For more information, please contact UCI's Employee Experience Center (EEC) at eec@uci.edu or at (949) 824-0500, Monday - Friday from 8:30 a.m. - 5:00 p.m.</div>

Biller IV - HB Enterprise Reporting - FT Days

Urology Centers of Alabama

<div>General Summary
The Patient Account Representative will utilize the EMR and insurance systems to verify coverages and provide accurate information to allow for collection of all accounts. Maintain claims processing, including accurate and timely claim creation, follow-up and correspondence with insurance inquiries/correspondence. Assure payments are recorded and reconciled timely in order to maximize revenues. Counsels patients on financial matters to assure prompt payments are received for services.<div>
</div>Minimum Qualifications<ul><li>
Must demonstrate a working knowledge of CPT and ICD-10 coding systems. Knowledge of individual codes not required.
</li><li>Must demonstrate experience with verifying insurance eligibility, including with Alabama Medicaid&rsquo;s State Eligibility System.</li><li>
Must demonstrate sound knowledge of medical collection practices.
</li><li>Must show the ability to learn and understand an electronic medical record.</li><li>
Must show the ability to have excellent interpersonal skills and communication to interact with all walks of life, internal and external to UCA, from all educational or cultural backgrounds.
</li><li>Must show the ability to work independently or within a team in a fast-paced environment.</li><li>
Must show proficiency in use of a variety of office equipment including a PC, Windows, MSOffice, EMR system, multi-line telephone, copier, facsimile machine, etc.</li><li>
Must show the ability to maintain confidentiality, including strict adherence to HIPAA and UCA Guidelines.</li><li>
Must have a high school diploma or GED equivalent.</li></ul><div>
</div>Preferred Qualifications<ul><li>
May have an associate degree or higher in medical billing and coding.</li><li>
May have three (3) to five (5) years&rsquo; experience in healthcare billing claims.</li><li>
Show experience with Greenway or Allscripts EMR system.</li></ul><div>
</div>Licensure, Certification, Registration Requirements
None.<div>
</div>Supervisory Requirements
This position will not supervise any other staff members.<div>
</div>Physical Demands
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the employee is occasionally required to stand; walk; sit; use hands to finger, handle, or feel objects, tools, or controls; reach with hands and arms; stoop, kneel, crouch, or crawl; and talk or hear. The employee must occasionally lift and/or move more than 25 pounds.
Essential Functions<ul><li>
Prepares and submits clean claims to third party payers either electronically or by paper.</li><li>
Maintains relationship with clearinghouse, including appropriate follow-up with support issues.</li><li>
Coordinate the process of patient eligibility through various third-party sources.</li><li>
Coordinate collection process, to include any projects from Greenway accounts and tracking in soon to be collections in Allscripts.</li><li>
Maintain monthly statement process.</li><li>
Escalate patient issues to Director of Revenue Cycle.</li><li>
Work with reception staff, ensure appropriate collection of co-pays, deductible and self-pay fees.</li><li>
Handles patient inquiries and answers questions from clerical staff and insurance companies.</li><li>
Identifies and resolves patient billing problems.</li><li>
Denial and insurance follow-up management.</li><li>
Issues adjusted, corrected, and/or rebilled claims to third party payers.</li><li>
Posts adjustments transfer of responsibility and refunds, as necessary.</li><li>
Assure coding is compliant and up to date.</li><li>
Reviews accounts and makes recommendations to the Director regarding non collectible accounts.</li><li>
Other relevant duties as assigned.</li></ul></div>

Biller - FT

Salina Family Healthcare Center

<div>Please note that this is an in-person, non-remote position. 
Hiring Range - $18.50 - 21.15\hour 
FLSA Status: Non-Exempt 
Coder/Biller I General Description 

The Coder/Biller I provides coding and insurance support to the Billing Department and demonstrates understanding of health insurance, Medicare, Medicaid, FQHC nuances and the SFHC discount program to ensure the integrity of claims &amp; maximize reimbursement. May screen patients and assist the uninsured with enrolling in applicable discount/insurance programs. If applicable would need to meet requirements and competencies to be designated as a &ldquo;Certified Application Counselor or Navigator&rdquo; under CMS/HRSA definition. May be required to meet performance standards of Presumptive Eligibility Specialist to enroll qualified pregnant women and children in Kansas Medicaid. 
Mission &amp; Value Statements 
The mission of Salina Family Healthcare Center is to serve our community at the crossroads of compassionate healthcare and professional education. 
Salina Family Healthcare Center is guided by the following fundamental values:
<ul>
<li>Excellence;</li>
<li>Innovation;</li>
<li>Access;</li>
<li>Teamwork;</li>
<li>Equal dignity;</li>
<li>Education;</li>
<li>Ethics &amp; integrity;</li>
<li>Patient-centered.</li></ul> 


Coder/Biller I Essential Duties
<div>
<ul><li>Efficient timely review of patient charges prior to creating claims for accuracy and completeness; obtain/correct any missing information to reduce claim denial prior to creating claims; including orchard and non-billable holds as a priority.</li></ul>
<ul><li>Accurately review /code encounters for appropriate diagnosis (ICD10), procedures (CPT), HCPCS codes and modifiers prior to billing claims to maximize reimbursement.</li></ul>
<ul><li>Demonstrates and maintains working knowledge of third-party payer regulations and claim policies to include FQHC, Medicare and Medicaid, 340B, Lab NCD &amp; LCD as well as SFHC discount program to accurately submit claims.</li></ul>
<ul><li>Assist with reducing claim denials.</li></ul>
<ul><li>Monitor, identify, research and resolve outstanding unpaid claims.</li></ul>
<ul><li>Ensure the Discount Program integrity by updating claims as well as appropriate practice management systems accurately &amp; timely.</li></ul>
<ul><li>Meet requirements and competencies to be designated as a &ldquo;certified application counselor or Navigator&rdquo; under CMS/HRSA definition, if applicable.</li></ul>
<ul><li>Obtain Presumptive Eligibility Specialist designation and meet performance standards as outlined by KDHE-DHCF in order to enroll our pregnant women and children that are eligible in Kansas Medicaid if applicable.</li></ul>
<ul><li>Attend meetings as required.</li></ul>
<ul><li>Perform other duties as assigned.</li></ul></div> 


Coder/Biller I Skills Required 
 
<div><ul><li>Ability to establish and maintain effective working relationships with staff, patients and the public. 
</li></ul>
<ul><li>Knowledge of HIPAA privacy rules and regulations.</li></ul>
<ul><li>Excellent interpersonal, mathematical, verbal and written communication skills.</li></ul>
<ul><li>Ability to efficiently complete work is reasonably void of errors, and high in accuracy.</li></ul>
<ul><li>Excellent customer service skills and ability to effectively and respectfully interact with unsatisfied patients and coworkers.</li></ul>
<ul><li>Ability to manage multiple tasks, work under pressure, and prioritize workload, while maintaining efficiency and accuracy.</li></ul>
<ul><li>Effective and efficient time management and organizational skills. 
</li></ul>
<ul><li>Ability to follow written policies and procedures.</li></ul>
<ul><li>Ability to work independently and use good judgment.</li></ul></div> 


Coder/Biller I Education and Experience 
<div>
<ul><li>High school diploma required;</li></ul>
<ul><li>Certified Professional Coder (CPC) OR equivalent of two years coding and insurance in a medical related field;</li></ul>
<ul><li>Excellent organization, prioritization, and follow-up skills required; 
</li></ul>
<ul><li>Requires knowledge of ICD10, CPT and HCPCS Coding;</li></ul>
<ul><li>Social and cultural sensitivity appropriate to ethnically and economically diverse patient and employee-base.</li></ul></div> 


To see the full job description, please email careers@salinahealth.org with your requests.</div>

Coder/Biller I (In-Person Only Position)

StoneGate Senior Living

Insurance Biller 100% On Site StoneGate Senior Living Lewisville, TX StoneGate Senior Living, a leading provider of Long-Term Care, Skilled Nursing and Rehabilitative Care in Lewisville, TX has an opportunity for an Insurance Biller with Managed Care Insurance experience to join our team! A rewarding career is waiting for you with a company that specializes in long-term and rehabilitative care! If you are an experienced Insurance Biller with Managed Care experience, we have the opportunity for you. This is not a remote position. As the Insurance Biller you are responsible for verifying, facilitating insurance authorizations, and billing via UB04s for Skilled Nursing patients. Duties may also include communicating with clinical liaisons, insurance carriers, and Skilled Nursing Facilities. The specialist will verify patients&rsquo; demographics, gathering and recording pertinent information, conform insurance/payor benefits, review preauthorization and complete processes and bill inpatients to the Skilled Nursing Facilities. Follow-up on all claims, moving copays, posting cash, appeals for non-paid claims and work all balances. Come be a part of our mission to provide superior clinical care, rehabilitation, wellness, and supportive services that meet the wants, needs, and expectations of our patients and residents. We offer competitive compensation, health, dental, and vision insurance, company paid life insurance, holiday pay, paid time off, employee appreciation events and much more. We look forward to you joining our team! Responsibilities: Understanding of SNF billing requirements and systems. Bills Insurance via UB04 detailed billing, non-episodic Tie NOMNCs to Insurance Authorization for billing and appeals. Full understand of ISNP systems and ability to bill per guidelines Detailed UB04/837 understanding Manage large load of claims from multiple facilities within deadlines Work closely with Team Members and billing issue resolutions Communicates effectively with clinical reimbursement Knowledge/understanding of Pharmacy exclusions and related billing procedures Post incoming remits and balance books Understand basic accounting knowledge and processes Working knowledge of national insurance clearing house systems Contact patient&rsquo;s insurance to confirm and determine amount of coverage and benefits, deductible due, length of stay and if authorization is required. Communicates authorization status electronically and verbally if needed. . Maintains open communication with Team Members and Clinical Liaisons to ensure teamwork, cooperation and mutual respect. **This is not a Coder position**** Requirements: High school diploma. College degree in Business preferred Basic Accounting/bookkeeping skills needed. UB04 experience required Must have Managed Care Insurance experience. Experience in Skilled Nursing authorizations preferred. Strong knowledge and understanding of Medicare, Managed Care, HMO/PPO plans and authorization/referral requirements. Ability to understand medical terminology. Ability to multi-task and prioritize duties. Strong Excel skills Excellent organizational skills. Uses a computer proficiently. Speaks and communicates English effectively, both in verbal and written format. **Note: this is NOT a coder position**

Insurance Biller

Billing Freedom

We are seeking an experienced medical biller with a strong background in medical billing and coding. The successful applicant must have excellent communication skills, be a great team player and demonstrate a high level of professionalism.<ul><li>Experience in CPT and ICD-10 coding</li><li>Claims appeal and resolution experience</li><li>Perform posting charges</li><li>Minimum of 1 month and up to 3 years of hands-on experience in Medical Billing.</li><li>Perform completion of claims to payers</li><li>Submit billing data to the appropriate insurance providers</li><li>Analysis and resolution of denied claims/cases. Identify and resolve billing issues</li><li>Monitor aging to ensure timely follow-up of claims resolution, reduction of future denials, ensuring accurate payment and escalation of issues to management as identified.</li><li>Conduct insurance re-verification as needed through various tools and initiate billings to a new payer or reprocess the claim accordingly, or bill patient.</li><li>We are seeking an experienced medical biller with a strong background in medical billing and coding. The successful applicant must have excellent communication skills, be a great team player and demonstrate a high level of professionalism.</li></ul>Job Type: Full-timePay: Rs120,000.00 - Rs150,000.00 per monthApplication Question(s): * It's an onsite night shift job, are you able to do work from 8pm to 5am?Education:<ul><li>Bachelor's (Required)</li></ul>Experience:<ul><li>Medical Billing: 1 year (Required)</li></ul>Work Location: In person

Senior Medical Biller

TruArc Health

<div>
 
 MVML, Inc. is seeking a detail-oriented Medical Biller to join our dynamic team. As a Medical Biller, you will play a crucial role in ensuring the accurate and timely processing of medical claims, facilitating efficient reimbursement, and maintaining compliance with healthcare regulations. You will work closely with healthcare providers, insurance companies, and patients to manage the billing and revenue cycle, contributing to the financial health of our organization.
 
 
 
 
 
 
 Duties &amp; Responsibilities:
 
 
 <ul>
 <li>
 Review high volume of claims to ensure they meet billing guidelines.
 </li>
 <li>
 Submit high volume of electronic claims accurately and timely.
 </li>
 <li>
 Submit claims to secondary insurance with appropriate supporting documents.
 </li>
 <li>
 Ensure claims are paid according to fee schedule.
 </li>
 <li>
 Effectively review EOB denials and underpayments to determine best course of action (resubmission/appeals).
 </li>
 <li>
 Track and manage unbilled claims due to missing information.
 </li>
 <li>
 Post insurance payments accurately and timely.
 </li>
 <li>
 Review and approve Electronic Remittance Advice (ERA).
 </li>
 <li>
 Perform follow ups and obtain claims status through insurance portals and over the phone.
 </li>
 <li>
 Perform verification of benefits and obtain authorizations when required.
 </li>
 <li>
 Maintain productivity and quality levels set by management.
 </li>
 <li>
 Perform additional duties as assigned by management.
 </li>
 <li>
 Adheres to all HIPPA and PHI guidelines.
 </li>
 </ul>
 
 
 
 
 
 QUALIFICATIONS:
 
 
 <ul>
 <li>
 1+ years of medical billing experience is required.
 </li>
 <li>
 Strong knowledge of medical terminology, CPT codes, ICD-10 codes, and modifiers.
 </li>
 <li>
 Experience working with EMR systems and clearinghouses.
 </li>
 <li>
 Experience with commercial insurance, Medicare, and Medi-cal.
 </li>
 <li>
 Experience with AdvancedMD preferred
 </li>
 <li>
 Experience with PrognoCIS, OfficeAlly, Epic, Conexem, Dr. Chrono a plus
 </li>
 <li>
 Strong knowledge of EOBs and ERAs.
 </li>
 <li>
 Strong knowledge of timely filing limits.
 </li>
 <li>
 Excellent communication and analytical skills.
 </li>
 <li>
 Attention to detail and strong organizational skills.
 </li>
 <li>
 Toxicology billing experience a plus.
 </li>
 <li>
 Medical billing certification a plus.
 </li>
 <li>
 Coding experience a plus.
 </li>
 </ul>
 
 
</div>

Medical Biller

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