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

Trubridge; United States; Remote; USD 60,000 - 90,000; Full time

Job summary

Trubridge in the United States is seeking an Acute Claim Biller responsible for day-to-day business office billing for UB04 and CMS-1500 (eClinicalWorks). You will handle patient billing, collections, and third-party payer relations for hospital and rural health clinic settings.

This role requires 3-5 years of full-cycle billing experience including acute hospital and physician claims, and proficiency with eClinicalWorks EMR.

Qualifications

• 3–5 years of full-cycle billing experience in acute hospital and physician (Profee) claims.
• Experience with claims and denial work queues.
• Proficiency with eClinicalWorks EMR is required.
• Familiar with Commercial, Workers' Comp, and VA claims.
• Strong organizational, multi-tasking, and time-management skills.
• Detail-oriented with good follow-through.

Responsibilities

• Coordinate hospital/clinic business office functions including patient billing and collections.
• Process insurance claims and manage denial work queues.
• Ensure accurate and timely billing in accordance with procedures and third-party requirements.
• Maintain quality customer service and confidentiality of patient information.
• Assist manager with coaching, training, and team project tasks.

Skills

Organizational skills

Time management

Multi-tasking

Team collaboration

Education

High School Diploma

Tools

eClinicalWorks EMR

Job description

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 proceduresImplements appropriate procedures for follow-up on third party approvals, billing, and collection of overdue accountsEnsures that accurate and timely billing is being done by staff members in accordance with established procedures and third-party requirementsResponsible for consistently meeting production and quality assurance standardsMaintains quality customer service by following company policies and procedures as well as policies and procedures specific to each customerUpdates job knowledge by participating in company offered education opportunitiesProtects customer information by keeping all information confidentialProcesses miscellaneous paperworkAbility to work with high profile customers with difficult processesMay regularly be asked to help with team projectsResponsible 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 customerEnsures 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 RequirementsAt least 3-5 years Full-Cycle billing experience, to include BOTH Acute Hospital and Physician (Profee) claimsExperience with Claims AND Denial work queue'sExperience using eClinicalWorks E.M.R - REQUIREDFamiliar with Commercial, Workers Comp, and VA claims REQUIREDStrong 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