Insurance Biller Collector - Patient Accounting
Insurance Biller Collector - Patient Accounting
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Job Description
Overview
Join an awardwinning team of dedicated professionals committed to our core values of quality compassion and community! Saint Marys Health Network a member of Prime Healthcare offers incredible opportunities to expand your horizons and be part of a community dedicated to making a difference.
As a longstanding community partner with a 116year history Saint Marys Health Network offers Northern Nevada inpatient outpatient ancillary and wellness services. Nationally recognized and accredited by the Joint Commission as well as named one of the Top 100 Hospitals by Fortune/Merative and Americas Best 250 hospitals by Healthgrades Saint Marys Regional Medical Center is a 352bed acute care hospital offering a robust line of inpatient outpatient and ancillary services including a toprated Center for Cancer surgical and orthopedic services and an awardwinning Cardiology program and more. The health system a member of Prime Healthcare also operates a fullyintegrated Medical Group multiple urgent care clinics freestanding imaging lab and primary care clinics. For more information visit .
Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race color sex sexual orientation gender identity religion national origin age (subject to applicable law) disability military status genetic information or any other basis protected by applicable federal state or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: Biller is responsible for submitting claims to the appropriate intermediaries and to insure that procedures and charges are coded in compliance with all payers including MediCal and/or Medicare regulations. Responsible for obtaining required authorizations necessary for the processing and payment of claims. The Biller is responsible for the followup and denial management as necessary for final resolution. Responsible to identify the various types of diagnosis and procedures codes (ICD9 CPT HCPCS DRG) as they relate to reimbursement. Communicates clearly and efficiently by phone and in person with clients and staff members. Maintains productivity standards and reports. Obtains updated demographic information and all necessary information needed to comply with the various Government Programs billing requirements. Operates computer to input follow up notes and retrieve collection and patient information. Maintains proficiency in Medical Terminology
Qualifications
EDUCATION EXPERIENCE TRAINING
1. Previous Billing Experience within a hospital Business Office Required.
2. Previous experience with government programs and collections preferred.
3. Knowledge of medical terminology
4. Effective written and verbal communication skills
5. Ability to multitask prioritize needs to meet required timelines
6. Analytical and problemsolving skills
7. Customer Services experience required
8. High School Graduate or GED Equivalent Required (effective 4/1/14 for all new hires)
Employment Type
Full-Time
