Biller I

15 Corporate Services Division; United States; On-site; USD 34,000 - 44,000; Full time

Benefits offered by this job

Supportive work culture

Medical, Vision and Dental Coverage

Retirement Plans

Health Savings Account

Flexible Spending Account

Instant pay

Paid Time Off Accrual Bank

Opportunities for growth and advocacy

Tuition assistance/reimbursement

Excellent pay differentials on qualify

Flexible scheduling

Job summary

Monument Health seeks a Patient Financial Services Clerk to interpret, process, and file inpatient and outpatient medical claims in a compliant, timely manner. You will review information, ensure proper submission to payers, and support accurate patient billing and collections.

Essential duties include claim follow-up, researching payer requirements, and maintaining system documentation for internal or external customers. A strong clerical background in health-related finance is desired.

Qualifications

• High School Diploma or GED required or equivalent.
• 1+ year clerical experience preferred in healthcare or financial services.
• Bachelor's degree in Accounting, Business, or Health-Related field preferred.

Responsibilities

• Filing claims with accuracy and ensuring prompt reimbursement.

Skills

Clerical experience

Medical patient accounts experience

Financial services experience

Education

High School Diploma/GED

Bachelor's degree in Accounting, Business, Health Related Field

CCAT Certification

CPAT Certification

Job description

Primary Location: Rapid City, SD USA. Department: CS Patient Financial Services. Scheduled Weekly Hours: 40. Starting Pay Rate Range: $16.74 - $20.92 (Determined by the knowledge, skills, and experience of the applicant.)

Job Summary

Perform duties necessary to ensure the proper interpretation, processing, recording, approval and payment of inpatient and outpatient medical claims. Accurately reviews information for processing claims into a computerized system in accordance with the primary payer specifications and billing guidelines.

Benefits

• Supportive work culture
• Medical, Vision and Dental Coverage
• Retirement Plans, Health Savings Account, and Flexible Spending Account
• Instant pay is available for qualifying positions
• Paid Time Off Accrual Bank
• Opportunities for growth and advancement
• Tuition assistance/reimbursement
• Excellent pay differentials on qualifying positions
• Flexible scheduling

Essential Functions

• Demonstrates application of compliance standards and payer specific data to properly file claims and ensures prompt, appropriate reimbursement of services and supplies billed to third parties and appropriate payment of services and supplies due from patients, as evidenced by documentation, observation and feedback.
• Demonstrates a working knowledge of third party payer procedures including, but not limited to: Commercial Payers, Veterans Administration, worker' compensation, third-party liability, county payers, and all other third party contractual agreements as required.
• Conducts timely follow up of claims.
• Use tools provided to track and trend patterns of claim submission issues that might require Compliance and Charge master staff to resolve, or HIPAA transaction code set review.
• Research payer requirements and offer suggestions to leadership for claims submission issues.
• Maintains and updates appropriate system documentation to provide information regarding claim processing to internal or external customers.
• Identifies unresolved requests of patient responsibility and transfers account to self pay.
• Performs duties and provides best customer service using behaviors that demonstrate responsibility and accountability.
• Participates in departmental activities related to performance improvement and quality control.
• Demonstrates a working knowledge of denial follow up and first level appeals.
• All other duties as assigned.

Additional Requirements

• Required: Education - High School Diploma/GED Equivalent in General Studies
• Preferred: Experience - 1+ years of Clerical Experience; 1+ years of Medical Patient Accounts/Financial Services Experience
• Education - Bachelors degree in Accounting, Business, Health Related Field
• Certifications - Certified Clinical Account Technician (CCAT) - Accredited University or accredited training professionals; Certified Patient Account Technician (CPAT) - Accredited University or accredited training professionals
• Physical Requirements - Sedentary work - Exerting up to 10 pounds of force occasionally and/or negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects, including the human body.
• Sedentary work involves sitting most of the time.

Job Category: Finance Job Family: Insurance Services Shift: Requires the ability to work assigned schedules and hours as determined by the department Employee Type: Regular 15 Corporate Services Division

Make a difference. Every day.

Monument Health is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected Veteran status.