Biller Collector

Kindred; Louisville (KY); On-site; USD 42,000 - 65,000; Full time

Job summary

ScionHealth is seeking a billing specialist to collect receivables and monitor past due accounts. The role involves researching and resolving insurance claim discrepancies and ensuring accurate patient billing for discharged patients.

The ideal candidate will have hospital medical billing experience, strong communication skills, and knowledge of Medicare/State programs. This is an on-site position in Louisville, KY with regular attendance expected.

Qualifications

• Excellent oral and written communication and interpersonal skills.
• Computer literate.
• Knowledge of Medicare, State Programs, and commercial billing.
• Must read, write and speak fluent English.
• Must have good and regular attendance.

Responsibilities

• Reviews patient account files for discharged patients and ensures the accuracy and completeness of all documents.
• Identifies portion of charges to be billed to patients' insurance companies, Medicare or other third parties, and those to be billed to the patient directly.
• Prepares appropriate billing statements for insurance companies, Medicare or other third parties.
• Replies to patients' and insurance company requests for information.
• Assists in the preparation of billing activity reports.
• Prepares and maintains billing files and reports.
• Investigates delinquency cases to identify special circumstances affecting payment delays and follows up with appropriate parties.
• Contacts third party payer organizations and/or patients to facilitate timely payment of past due charges or arrange settlements.
• Identifies problem delinquencies and recommends their disposition (referral to collection agency or write-off).
• Prepares and maintains records documenting the status and disposition of past due accounts.

Skills

Communication skills

Computer literacy

Billing knowledge

English fluency

Attendance

Education

High School Diploma or equivalent

Job description

Description

At ScionHealth, we empower our caregivers to do what they do best. We value every voice by caring deeply for every patient and each other. We show courage by running toward the challenge and we lean into new ideas by embracing curiosity and question asking. Together, we create our culture by living our values in our day-to-day interactions with our patients and teammates.

Job Summary

Collects receivables and monitors past due accounts. Researches and resolves insurance claim discrepancies.

Essential Functions

• Reviews patient account files received for discharged patients and ensures the accuracy and completeness of all documents.
• Identifies portion of charges to be billed to patients' insurance companies, Medicare or other third parties, and those to be billed to the patient directly.
• Prepares appropriate billing statements for insurance companies, Medicare or other third parties.
• Replies to patients' and insurance company requests for information.
• Assists in the preparation of billing activity reports.
• Prepares and maintains billing files and reports.
• Investigates delinquency cases to identify any special circumstances affecting payment delays and follows up with appropriate parties.
• Contacts third party payer organizations and/or patients as necessary to facilitate the timely payment of past due charges or arranges alternative settlement plans.
• Identifies problem delinquencies and recommends their appropriate disposition (i.e., referral to collection agency or other legal action, or write-off).
• Prepares and maintains records and reports documenting the status and amount of past due accounts, and the timing and nature of their disposition.

Knowledge/Skills/Abilities/Expectations

• Excellent oral and written communication and interpersonal skills.
• Computer literate.
• Knowledge of Medicare, State Programs, and commercial billing.
• Approximate percent of time required to travel: 0%
• Must read, write and speak fluent English.
• Must have good and regular attendance.
• Performs other related duties as assigned.

Qualifications

Education

• High School Diploma or Equivalent including education equivalent to completion of secondary school or demonstrated ability to perform the essential functions of the role. (Preferred)

Experience

• 2+ years hospital medical billing experience (Preferred)