Hospital Biller

Job Title: Hospital Biller

Location: Johnson County Hospital Tecumseh NE

Department: Patient Financial Services

Reports To: CFO

Position Summary:

Responsible for posting and managing account payments. They are responsible for submitting insurance claims and following up with insurance companies. They handle demands pleasantly professionally and efficiently.

Work Schedule: This role follows standard Monday-Friday office operations. Daily working hours are flexible and may be set by the employee. Hours may vary based on workload.

Duties & Responsibilities

General Requirements:

• Have knowledge of insurance rules and guidelines including Medicare Medicaid managed care plans commercial plans and other third-party payers.
• Review health record documentation to identify treated conditions and billable services provided to each patient.
• Apply and know appropriate CPT codes and HCPCS codes.
• Handle confidential patient information with professional discretion.

Pre-Claim Submission Duties:

• Prepare paper and electronic claims for submission to the appropriate payer.
• Request any missing patient information.
• Transmit and process all billable claims.

Post-Claim Submission Duties:

• Review EMR and clearinghouse claims rejections.
• Analyze and resolve claim rejections and denials.
• Call insurance companies to inquire about the status of claims submitted to maintain an acceptable AR balance.
• Review appeal and attach all necessary documentation on claims to ensure appropriate reimbursements.
• Review modify document denial reason code correct and regenerate denied claims.
• Utilize assigned reports to process denials within 45-day time frame.
• Review insurance payments for accuracy.
• Respond to questions and complaints from patients or insurance companies.
• Post all insurance checks EFTs and credit cards daily.
• Maintain organized documentation of all billing correspondence.
• Review requested insurance refunds for accuracy and submits refunds for processing.

Patient Billing & Collection Duties:

• Review patient statements for accuracy completeness and obtain any missing information.
• Send statements to patients daily.
• Review self-pay credit balances for accuracy and if needed submit patient refunds for processing.
• Manage accounts for patient payments or collections.
• Work with the hospitals collection agency on delinquent accounts.

Other Duties:

• Contribute to team effort by accomplishing results timely.
• Communicate with health care providers patients insurance claim representatives and other parties to clarify billing issues and facilitate timely payment.
• Consult supervisor team members and appropriate resources to solve billing and collection questions and issues.
• Performs other duties as assigned.

Patients are always our first priority!

The Hospital Biller will understand and demonstrate compliance with HIPPA regulations and will comply with all JCH policies and procedures.

Qualifications & Skills:

1. Preferred minimum level of education: High School Diploma
2. Knowledge of medical terminology and billing regulations
3. Billing experience desired
4. Computer knowledge and data skills entry
5. Good business communication skills
6. Knowledge of professional telephone techniques and patient relations
7. Ability to work in a busy fast-paced office environment

Benefits We Offer:

• Competitive wages
• Comprehensive health dental and vision insurance
• Retirement savings plan
• Professional development opportunities
• Supportive and collaborative work environment
• Paid time off
• Sick pay

Why Join Us

At Johnson County Hospital we value our team and foster a supportive environment where you can thrive. Join us to make a difference in the lives of our patients and their families.