Biller - Patient Accounting

Prime Healthcare; Victorville (CA); Sur place; USD 32 000 - 36 000; Plein temps

Avantages offerts par ce poste

Health benefits

401K retirement plan

Tuition reimbursement

Résumé du poste

Desert Valley Hospital, part of Prime Healthcare Foundation, seeks an Insurance Biller to manage billing for insurance, workers’ compensation, and HMO/PPO carriers. You will audit codes, follow up on balances, and communicate with clients and staff to ensure timely payments and accurate records.

Strong billing knowledge and communication skills are essential, along with the ability to multi-task and meet deadlines. This is a full-time role based in Southern California.

Qualifications

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

Responsabilités

• Bill all insurance, workers’ comp, and HMO/PPO carriers; audit accounts and correct codes.
• Follow up on insurance balances; communicate with clients and staff; maintain productivity and collect demographics; write appeals.

Connaissances

Billing knowledge

Customer service

Verbal communication

Analytical thinking

Multi-tasking

Formation

High School diploma or GED

Description du poste

Overview

Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community! Desert Valley Hospital, a member of the Prime Healthcare Foundation, offers incredible opportunities to expand your horizons and be part of a community dedicated to making a difference.Desert Valley Hospital is an accredited 148-bed acute care hospital located in Southern California. Desert Valley Hospital is in the top 5% of more than 4,500 hospitals nationwide for clinical performance. The hospital has achieved numerous quality award distinctions including Patient Safety Excellence Award, Women’s Health Excellence Award and Distinguished Hospital Clinical Excellence Award. Desert Valley Hospital, along with Desert Valley Medical Group, offers key services to the community including heart care, emergency services, labor and delivery, surgical services and more. For more information visit www.DesertValleyHospital.com.

Responsibilities

The Insurance 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 Insurance 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. Effective written and verbal communication skills

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

4. Analytical and problem-solving skills

5. Customer Services experience required

6. High School Graduate or GED Equivalent Required (effective 4/1/14 for all new hires)

#LI-DNI

Pay Transparency

Desert Valley 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 $23.00 to $26.25. 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