Insurance Biller Collector - PVH Patient Accounting
Insurance Biller Collector - PVH 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! Paradise Valley Hospital a member of Prime Healthcare offers incredible opportunities to expand your horizons and be part of a community dedicated to making a difference.
Paradise Valley Hospital is the South Bays oldest hospital the second oldest hospital in all of San Diego County and the largest employer in National City. For more than 100 years Paradise Valley Hospital has served San Diego faithfully proud of our heritage and providing numerous programs and services to meet the changing needs of our community. Our 291bed acute care hospital features
theSan Diego Spine & Joint Center a highly credentialed acuterehabilitation center ourParadise Health & Senior Center a fully equipped and modern cardiac catheterization lab and comprehensive inpatient and outpatient surgical services and 24hour emergency services.
In addition to our healthcare services we offer comprehensivebehavioral health serviceson the hospital campus and Bayview campus in Chula Vista. Services include psychiatric continuum of care for adult patients inpatient services and intensive outpatient services. Learn more at 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: Notice for California Applicants: 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 and Work Experience
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)
Paradise Valley Hospital offers competitive compensation and a comprehensive benefits package that provides employees the flexibility to tailor benefits according to their individual needs. Our Total Rewards package includes but is not limited to paid time off a 401K retirement plan medical dental and vision coverage tuition reimbursement and many more voluntary benefit options. A reasonable compensation estimate for this role which includes estimated wages benefits and other forms of compensation is $21.00 to $22.56. The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire in which a wide range of factors will be considered including but not limited to skillset years of applicable experience education credentials and licensure.
Employment Type
Full-Time
