Institutional & ProFee Claim Biller - Commercial & Medicaid

TruBridge, Inc; United States; Remote; USD 42,000 - 65,000; Full time

Benefits offered by this job

Remote work

401(k)

Generous time off

10 paid holidays

Employer-paid short-term disability

Paid parental leave

Job summary

TruBridge, Inc. seeks an Institutional & ProFee Claim Biller - Commercial & Medicaid to manage day-to-day billing for Critical Access Hospitals and Rural Health Clinics in New Hampshire.

The role coordinates patient billing, collections, third-party payer relations, and insurance claim preparation. Essential duties include overseeing staff, ensuring compliance with procedures, meeting production/quality standards, and safeguarding patient information.

Qualifications

• At least 3–5 years of full-cycle billing experience (acute hospital and/or physician/profee claims).
• Experience with Commercial and Medicaid claims.
• Experience with claims and denial queues.
• Strong organizational, multi-tasking, and time-management skills.
• Detail oriented with ability to resolve issues.
• Able to work independently and as a team member.

Responsibilities

• Coordinate business office functions including patient billing, credit and collections, and data entry.
• Recommends and implements new processes; ensures accurate submission of claims.
• Follow up on third-party approvals, billing, and overdue accounts.
• Ensure timely billing in accordance with procedures and third-party requirements.
• Maintain quality customer service per company and client policies.
• Support manager with coaching, training and disciplinary actions as needed.

Skills

Organizational skills

Multi-tasking

Time management

Attention to detail

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:

• 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

Why join our team?

• 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

What's it like to work for TruBridge?

You'll help connect providers, patients and communities with innovative solutions that create real value by supporting both the financial and clinical sides of healthcare delivery. You'll be part of a remote team that's encouraged to push boundaries and look at things differently. And you'll contribute to supporting providers in delivering the best care possible for their communities.

Are you ready to help us clear the way for care? Explore opportunities with TruBridge.