Biller-Patient Accounting

Prime Healthcare; Los Angeles (CA); On-site; USD 32,000 - 36,000; Full time

Job summary

Sherman Oaks Hospital, part of Prime Healthcare, is hiring a Biller in Sherman Oaks, CA. You will bill insurance carriers, review accounts for correct codes, and perform follow-up to ensure timely payments. Strong knowledge of CPT/HCPCS and excellent communication are essential.

This full-time role offers a comprehensive benefits package. The pay transparency statement indicates a range of $23.23 to $26.49 per hour, with starting compensation determined at hire.

Qualifications

• Knowledge of multiple insurance billing requirements and 1-2 years of billing experience.
• Knowledge of CPT, HCPCS, and Revenue Code structures.
• Effective written and verbal communication skills.
• Ability to multi-task, prioritize needs to meet required timelines.
• Analytical and problem-solving skills.

Responsibilities

• Bill all insurance companies, workers’ compensation carriers, and HMO/PPO carriers.
• Audit patient accounts to ensure procedures and charges are coded correctly and correct billing errors.
• Identify stop loss claims, implants and missing codes; maintain proficiency in medical terminology.
• Follow up on insurance balances to ensure timely payment; communicate with clients and staff by phone and in person.
• Write effective appeals to insurance companies.

Skills

Billing knowledge

CPT knowledge

HCPCS

Communication skills

Multitasking

Analytical skills

Education

High School Diploma or GED

Job description

Overview

At Sherman Oaks Hospital, our dedicated team of professionals are committed to our core values of quality, compassion, and community. As a member of the Prime Healthcare Foundation, Sherman Oaks Hospital is actively seeking new members to join its award-winning team!Sherman Oaks Hospital is a 153-bed, not-for-profit, acute-care community hospital located in Sherman Oaks, California. Staffed with over 500 employees and an extraordinary team of physicians, the hospital is recognized for advanced technology and compassionate care and provides 24/7 emergency care in addition to a full range of specialized medical, surgical, and diagnostic services to improve and save lives. Sherman Oaks Hospital has been nationally recognized multiple times as a "100 Top Hospital" by Fortune/Merative, holds an "A" grade in patient safety from The Leapfrog Group, Patient Safety Excellence recognition from Healthgrades, and more. For more information, visit www.shermanoakshospital.org.

Responsibilities

The Biller is responsible to bill all insurance companies, workers’ compensation carriers, as well as HMO/PPO carriers. Audits patient accounts to ensure procedures and charges are coded accurate and corrects billing errors. Able to identify stop loss claims, implants and missing codes. Maintains proficiency in Medical Terminology.

The Biller is responsible for the follow-up performed on insurance balances as needed to ensure payment without delay is received from the insurance companies. Communicates clearly and efficiently by phone and in person with our clients and staff members. Maintains productivity standards and reports. Obtains updated demographic information and all necessary information needed to comply with insurance billing requirements. Operates computer to input follow up notes and retrieve collection and patient information. Is able to write effective appeals to insurance companies.

Qualifications

• Knowledge of multiple insurance billing requirements and 1-2 years of billing experience
• Knowledge of CPT, HCPCS, and Revenue Code structures
• Effective written and verbal communication skills
• Ability to multi-task, prioritize needs to meet required timelines
• Analytical and problem-solving skills
• High School Graduate or GED Equivalent Required

Pay Transparency

Sherman Oaks Hospital offers competitive compensation and a comprehensive benefits package that provides employees the flexibility to tailor benefits according to their individual needs. Our Total Rewards package includes, but is not limited to, paid time off, a 401K retirement plan, medical, dental, and vision coverage, tuition reimbursement, and many more voluntary benefit options. A reasonable compensation estimate for this role, which includes estimated wages, benefits, and other forms of compensation, is $23.23 to $26.49. The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide range of factors will be considered, including but not limited to, skillset, years of applicable experience, education, credentials and licensure.

Employment Status

Full Time

Shift

Days

Equal Employment Opportunity

Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf

Privacy Notice

Privacy Notice for California Applicants: https://www.primehealthcare.com/wp-content/uploads/2024/04/Notice-at-Collection-and-Privacy-Policy-for-California-Job-Applicants.pdf