Institutional & ProFee Claim Biller - Commercial

TruBridge, Inc.; New Hampshire; Hybrid; USD 52,000 - 70,000; Full time

Benefits offered by this job

401(k)

Paid holidays

Short-term disability

Life insurance

Paid parental leave

Job summary

TruBridge, Inc. seeks an Institutional & ProFee Claim Biller - Commercial to manage day-to-day hospital and clinic billing operations in New Hampshire.

The role covers patient billing, collections, payer relations, and insurance claims processing for Critical Access Hospital and Rural Health Clinic settings. Responsibilities include ensuring compliant submission, improving processes, and mentoring staff while upholding quality customer service and confidentiality.

Qualifications

• At least 3–5 years of full-cycle billing experience, including hospital and physician (ProFee) claims.
• Experience with claims and denial queues; familiarity with commercial claims is required.
• Strong organizational, multi-tasking, and time-management skills; detail oriented.

Responsibilities

• Coordinate business office functions such as patient billing, credit and collections, and data entry.
• Recommend and implement new processes; ensure submission and billing follow established procedures.
• Follow up on third-party approvals and overdue account collections; maintain QA standards.
• Ensure accurate and timely billing; protect confidentiality of customer information.
• Assist manager with coaching, training and disciplinary actions as needed.
• Support manager with coaching and training of staff.

Skills

Full-Cycle billing

Acute Hospital claims

Physician (ProFee) claims

Denial management

Commercial claims

Education

High School Diploma

Job description

The **Institutional & ProFee Claim Biller - Commercial** position is responsible for day-to-day execution of TruBridge's complete business office services.This position is responsible for providing TruBridge claims processing services to **Critical Access Hospital (UB-04)** and **Rural Health Clinic (CMS-1500)** facilities in New Hampshire. This includes coordinating the day to day activities of a hospital's or clinic's business office such as patient billing and collection, third-party payer relations, and/or preparation of insurance claims.**Essential Functions:** In addition to working as prescribed in our Performance Factors specific responsibilities of this role include:* Coordinates business office functions and personnel that may include, but is not limited to patient billing, credit and collections, and data entry.* Recommends new processes and changes in current processes.* Implements controls to ensure appropriate submission, billing and credit and collections are kept in accordance with established procedures* Implements appropriate procedures for follow-up on third party approvals, billing, and collection of overdue accounts* Ensures that accurate and timely billing is being done by staff members in accordance with established procedures and third-party requirements* Responsible for consistently meeting production and quality assurance standards* Maintains quality customer service by following company policies and procedures as well as policies and procedures specific to each customer* Updates job knowledge by participating in company offered education opportunities* Protects customer information by keeping all information confidential* Processes miscellaneous paperwork* Ability to work with high profile customers with difficult processes* May regularly be asked to help with team projects* Responsible for assisting manager in the management of employees which would include coaching, training and performing necessary disciplinary actions including following up on action plans for their employees.* Maintains quality customer service by following company policies and procedures as well as policies and procedures specific to each customer* Ensures employee compliance with dress code, attendance and other company policies.* Processes miscellaneous paperwork and performs other administrative duties as assigned.**Minimum Requirements:**Education/Experience/Certification Requirements* At least 3-5 years **Full-Cycle** billing experience, to include **BOTH** Acute Hospital and/or Physician (Profee) claims* Experience with Claims **and** Denial Que's ***REQUIRED**** Familiar with Commercial claims***REQUIRED**** Strong organizational, multi-tasking, and time-management skills.* Must be detail oriented and able to follow through on issues to resolution.* Must be able to act both independently and as a team member.* High School Diploma or equivalent combination of education and relevant experience needed.* Excellent critical thinking, organizational, and time management skills with a strong attention to detail, accuracy, and follow through* Work remotely with a work/life balance approach* Robust benefits offering, including 401(k)* Generous time off allotments* 10 paid holidays annually* Employer-paid short term disability and life insurance* Paid Parental Leave