Acute Claim Biller - UB04 & CMS-1500 (eClinicalworks)

TruBridge, Inc.; United States; Remote; USD 55,000 - 75,000; Full time

Job summary

TruBridge, Inc. is seeking an Acute Claim Biller - UB04 & CMS-1500 to manage day-to-day billing operations for hospital and clinic claims.

The role focuses on patient billing, collections, payer relations, and insurance claim preparation, with strong emphasis on accuracy and adherence to procedures. The ideal candidate has 3-5 years of full-cycle billing, experience with UB-04 and CMS-1500, and proficiency in eClinicalWorks EMR.

Qualifications

• 3-5 years Full-Cycle billing experience, including Acute Hospital and Physician (Profee) claims.
• Experience with Claims and Denial work queues.
• Experience using eClinicalWorks EMR is REQUIRED.
• Familiar with Commercial, Workers Comp, and VA claims REQUIRED.
• Strong organizational, multi-tasking, and time-management skills.
• Detail oriented and able to follow through on issues to resolution.
• Able to act independently and as part of a team.
• Excellent critical thinking and attention to detail.

Responsibilities

• Coordinate business office functions and personnel including patient billing, credit and collections, and data entry.
• Recommend new processes and changes in current processes.
• Implement controls to ensure proper submission, billing, and collections per procedures.
• Follow up on third party approvals and overdue accounts.
• Ensure accurate and timely billing by staff per procedures and client requirements.
• Maintain quality customer service and confidentiality of information.
• Assist manager with coaching and training of staff.

Skills

Full-Cycle Billing

Acute Hospital Claims

Profee Claims

Denial Management

eClinicalWorks EMR

Time Management

Attention to Detail

Education

High School Diploma or equivalent

Tools

eClinicalWorks EMR

Claims Software

Job description

## Acute Claim Biller - UB04 & CMS-1500 (eClinicalworks)Apply: Remote - US: Full time: Posted Today: JR102520**Job Summary**The Acute Claim Biller - UB04 & CMS-1500 (eClinicalWorks) position is responsible for day-to-day execution of complete business office services. This position is responsible for providing claims processing services to Critical Access Hospital (UB-04) and Rural Health Clinic (CMS-1500) facilities. This includes coordinating the day to day activities of a hospital's or clinic’s business office such as patient billing and collection, third-party payer relations, and/or preparation of insurance claims.**Essential Functions:**In addition to working as prescribed in our Performance Factors specific responsibilities of this role include:* Coordinates business office functions and personnel that may include, but is not limited to patient billing, credit and collections, and data entry.* Recommends new processes and changes in current processes.* Implements controls to ensure appropriate submission, billing and credit and collections are kept in accordance with established procedures* Implements appropriate procedures for follow-up on third party approvals, billing, and collection of overdue accounts* Ensures that accurate and timely billing is being done by staff members in accordance with established procedures and third-party requirements* Responsible for consistently meeting production and quality assurance standards* Maintains quality customer service by following company policies and procedures as well as policies and procedures specific to each customer* Updates job knowledge by participating in company offered education opportunities* Protects customer information by keeping all information confidential* Processes miscellaneous paperwork* Ability to work with high profile customers with difficult processes* May regularly be asked to help with team projects* Responsible for assisting manager in the management of employees which would include coaching, training and performing necessary disciplinary actions including following up on action plans for their employees.* Maintains quality customer service by following company policies and procedures as well as policies and procedures specific to each customer* Ensures employee compliance with dress code, attendance and other company policies.* Processes miscellaneous paperwork and performs other administrative duties as assigned.**Minimum Requirements:**Education/Experience/Certification Requirements* At least 3-5 years Full-Cycle billing experience, to include *BOTH Acute Hospital and Physician (Profee) claims** Experience with Claims **AND** Denial work queue's* Experience using eClinicalWorks E.M.R - **REQUIRED*** Familiar with Commercial, Workers Comp, and VA claims REQUIRED* Strong organizational, multi-tasking, and time-management skills.* Must be detail oriented and able to follow through on issues to resolution.* Must be able to act both independently and as a team member.* High School Diploma or equivalent combination of education and relevant experience needed.* Excellent critical thinking, organizational, and time management skills with a strong attention to detail, accuracy, and follow through