Institutional & ProFee Claim Biller - Commercial & Medicaid

Trubridge; United States; Remote; USD 60,000 - 80,000; Full time

Benefits offered by this job

401(k)

Generous PTO

Paid holidays

Disability insurance

Life insurance

Parental leave

Job summary

TruBridge is seeking an Institutional & ProFee Claim Biller for Commercial and Medicaid to manage day-to-day billing operations for hospital and clinic claims. This remote role supports Critical Access Hospital and Rural Health Clinic environments in the United States.

You will coordinate patient billing, payer relations, and insurance claim preparation while ensuring accuracy, timeliness, and compliance with procedures.

Qualifications

• 3–5 years of full-cycle billing experience.
• Experience with Commercial and Medicaid claims.
• Experience with claims denial queues.
• Strong organizational, multi-tasking, and time-management skills.

Responsibilities

• Coordinate business office functions including patient billing, credit and collections, and data entry.
• Recommend and implement process improvements to billing workflows.
• Ensure timely and accurate billing in accordance with procedures and payer requirements.
• Follow up on third-party approvals and delinquent accounts to optimize collections.
• Maintain production and quality assurance standards.
• Provide excellent customer service and protect confidential information.
• Assist manager with coaching, training, and disciplinary actions as needed.

Skills

Full-Cycle billing

Claims & Denials

Commercial & Medicaid claims

Detail oriented

Time management

Team collaboration

Education

High School Diploma

Job description

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 proceduresImplements appropriate procedures for follow-up on third party approvals, billing, and collection of overdue accountsEnsures that accurate and timely billing is being done by staff members in accordance with established procedures and third-party requirementsResponsible for consistently meeting production and quality assurance standardsMaintains quality customer service by following company policies and procedures as well as policies and procedures specific to each customerUpdates job knowledge by participating in company offered education opportunitiesProtects customer information by keeping all information confidentialProcesses miscellaneous paperworkAbility to work with high profile customers with difficult processesMay regularly be asked to help with team projectsResponsible 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 customerEnsures 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 RequirementsAt least 3-5 years Full-Cycle billing experience, can include Acute Hospital and/or Physician (Profee) claimsExperience with Claims and Denial Que'sFamiliar with Commercial and Medicaid claims REQUIREDStrong 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 throughWhy join our team?Work remotely with a work/life balance approachRobust benefits offering, including 401(k)Generous time off allotments10 paid holidays annuallyEmployer-paid short term disability and life insurancePaid Parental Leave