Notes: 13 weeks with the possibility for extension and conversion to perm role should the candidate meet productivity and attendance standards
Summary
Patient Biller III is responsible for the full range of insurance and self-pay accounts and department credit balances. Responds to billing inquiries from patients, insurance companies and departments. Identifies and resolves issues regarding account adjustments, re-billing insurance, and/or collecting from patients as appropriate. Extensive knowledge of medical insurance and State and Federal rules and regulations related to hospital billing Insurance Claims.
Extensive knowledge in Insurance claims appeals, and range of knowledge in ICD9, CPT, HCPCS, coding principles. Knowledge of self-pay collections and mandated charity laws. Knowledge of medical/surgical terminology. Knowledge of accounting and cash handling principles and various billing documents and claim forms. Responsible for system generated claims, edits, attaches records, operative reports and all system reports. Job standards are expected to be achieved at the EXPERT level.
Minimum Qualifications
Three (3) years of recent acute care hospital billing and collection experience.
State and Federal rules and regulations related to billing Insurance Claims.
Demonstrated knowledge in self-pay collections.
Thorough knowledge of UB04 and revenue codes as it pertains to billing.
Extensive knowledge in Insurance claims appeals, and range of knowledge in ICD9, CPT, HCPCS coding principles.
Knowledge of Hospital payer contracts and reimbursement methodologies including but not limited to per diem, fee schedule, case rate and DRG's.
Preferred Qualifications
Epic Resolute experience.
UB04 experience.
Previous hospital billing experience.
Seniority level
Mid-Senior level
Employment type
Full-time
Job function
Accounting/Auditing and Finance
Industries
Staffing and Recruiting
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