Institutional & ProFee Claim Biller - Commercial & Medicaid

TruBridge, Inc.; New Hampshire; A distancia; USD 55.000 - 75.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

401(k)

Generous time off

10 paid holidays annually

Employer-paid short term disability &

life insurance

Paid Parental Leave

Remote work option

Descripción de la vacante

TruBridge, Inc. seeks an Institutional & ProFee Claim Biller to manage day-to-day billing for Critical Access Hospital and Rural Health Clinic facilities in New Hampshire.

The role covers patient billing, third-party payer relations, and insurance claims processing with a focus on accuracy and service quality. The position supports remote work with strong emphasis on meeting production and QA standards, confidentiality, and collaboration within the billing team.

Formación

• At least 3-5 years Full-Cycle billing experience including hospital or Profee claims.
• Experience with Claims and Denial Que's.
• Familiar with Commercial and Medicaid claims.
• Strong organizational, multi-tasking, and time-management skills.
• Detail oriented with strong follow-through and problem solving.
• Ability to work independently and as part of a team.
• High School Diploma or equivalent combination of education and relevant experience.
• Remote work readiness with a balance-focused approach.

Responsabilidades

• Coordinate business office functions such as patient billing, credit and collections, and data entry.
• Recommend and implement new processes; ensure controls per procedures.
• Ensure accurate and timely billing for staff per third-party requirements.
• Follow up on third-party approvals, billing, and overdue accounts.
• Maintain production and quality assurance standards.
• Protect customer information and maintain confidentiality.
• Assist manager with coaching, training and disciplinary actions as needed.
• Support team projects and ensure dress code, attendance, and policy compliance.

Conocimientos

Strong organizational skills

Multi-tasking

Time-management

Attention to detail

Critical thinking

Independent & team work

Follow-through

Educación

High School Diploma

Equivalent education/experience

Descripción del empleo

The **Institutional & ProFee Claim Biller - Commercial & Medicaid** 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, can include Acute Hospital and/or Physician (Profee) claims* Experience with Claims **and** Denial Que's* Familiar with Commercial and Medicaid 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