Biller-Patient Accounting

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

Benefits offered by this job

Paid time off

401K retirement plan

Medical insurance

Dental insurance

Vision coverage

Tuition reimbursement

Job summary

Sherman Oaks Hospital, part of Prime Healthcare, is seeking a Biller to manage billing for insurance and workers’ compensation, with focus on accurate coding and timely appeals. The role requires 1–2 years of billing experience and strong communication skills.

The position is full-time and on-site in Sherman Oaks, CA, offering a comprehensive benefits package as described in the Total Rewards program. The role emphasizes attention to detail and the ability to multi-task in a fast-paced hospital

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

Responsibilities

• The Biller bills all insurance companies, workers’ compensation carriers, and HMO/PPO carriers.
• Audits patient accounts to ensure procedures and charges are coded accurately and corrects billing errors.
• Identifies stop loss claims, implants and missing codes; writes effective appeals to insurance companies.
• Follow-up on insurance balances to ensure timely payments; communicates with clients and staff; maintains productivity and records.

Skills

Billing knowledge

CPT/HCPCS knowledge

Analytical problem solving

Effective written and verbal skills

Multi-tasking

Education

High School Graduate or GED

Tools

Billing software

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

EDUCATION, EXPERIENCE, TRAINING

1. Knowledge of multiple insurance billing requirements and 1-2 years of billing experience


2. Knowledge of CPT, HCPCS, and Revenue Code structures


3. Effective written and verbal communication skills


4. Ability to multi-task, prioritize needs to meet required timelines


5. Analytical and problem-solving skills


6. 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

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