Insurance Biller

MMC001 Marshall Medical Center; United States; On-site; USD 31,000 - 38,000; Full time

Job summary

Marshall Medical Center in Placerville, California, is seeking an Insurance Biller to ensure accurate and timely billing for hospital and home health claims. The role involves pursuing timely payments from insurance carriers and resolving variances in accordance with policy, while acting as a patient advocate across departments, carriers and patients.

The incumbent will participate in supporting projects as needed, leveraging strong customer service and organizational skills to manage multiple

Qualifications

• High school graduate or equivalent.
• Completion of online duty specific training within 90 days of job start date.
• Two years of facility billing desired.
• Knowledge of Microsoft Office and basic office equipment.
• Understand Knox-Keene, ERISA and California state laws affecting billing.
• HIPAA and California confidentiality laws impacting release of medical information.

Responsibilities

• Bill hospital and home health claims to carriers.
• Pursue collection of all claims in a timely manner until payment is made by insurance carriers.
• Resolve billing variances according to policy.
• Advocate for patients with staff, carriers and patients to resolve billing issues.

Skills

Customer service

Organizational skills

Multitasking

Independent decision making

Team player

Data entry 30 CWPM

Basic math

Education

High school diploma

Online duty-specific training (within 90 days)

Tools

Microsoft Office

Basic office equipment

Job description

Department: Hospital Patient Billing Shift: Primarily Days (United States of America) Employee Type: Regular Per Diem Type (if applicable): Minimum Pay Range: $22.69 - $27.23

POSITION SUMMARY

The Insurance Biller ensures the accurate and timely completion of duties related to the billing of all hospital and home health claims assigned to the appropriate carrier: pursues collection of all claims in a timely manner until payment is made by insurance carriers ensuring payment variances are reviewed and resolved according to policy. Acts as a patient advocate with departmental and hospital staff, insurance carriers and patients in order to resolve billing issues and promote customer satisfaction. Assists with projects as needed.

POSITION QUALIFICATIONS

• Education/Licensure/Certification: High school graduate or equivalent required.
• Completion of on-line duty specific training required within 90 days of job start date.
• Knowledge: Two years of facility billing desired. Working knowledge of Microsoft and Office products, and basic office equipment required. Understanding of governmental agencies, commercial insurances, state & county compliance guidelines with regards to billing preferred. Must have basic knowledge of Knox-Keene, ERISA and California State laws that impact the billing process. Must have basic knowledge of HIPAA and California State Confidentiality laws that impact the release of medical information.
• Skills: Superior customer service skills including oral, written, and listening skills in dealing with patients, physicians’ office staff, co-workers, and payers. Has good organizational skills and flexibility. Ability to make reasonable independent decisions in the absence of immediate direct supervision that stay within hospital and department guidelines. Works as a team player assisting co-workers during periods of peak workloads and short staffing. Must possess the ability to multi-task and reprioritize workload in order to meet deadlines.
• 30 CWPM Data entry, ten-key skills required, basic filling skills, alphabetic, numeric and basic math skills required. Ability to interpret contract and rate sheets for insurance.

A NONPROFIT HEALTHCARE PROVIDER IN EL DORADO COUNTY

Marshall is a nonprofit community healthcare provider located in the heart of the Sierra Foothills. Our history stems back to 1956, when the community banded together to build a modern hospital for El Dorado County. Since opening our doors in 1959, Marshall has been proud to maintain our status as an independent hospital whose governance remains local. Our mission is to improve the health of our community and offer health services of superior value and quality, centered on the goals and needs of our patients. We strive to deliver service that exceeds our patients’ expectations. Quality Care Marshall is routinely recognized in the top tier of hospitals in California by independent consumer healthcare groups, and we’re always striving to improve. Marshall’s Emergency Department is a verified Level III Trauma Center and our Stroke Program is not only distinguished as a Primary Stroke Center by the Joint Commission but also earned a Gold-Plus designation from the American Heart/American Stroke Association. Marshall’s Birth Center was also designated by the World Health Organization and UNICEF as a Baby Friendly certified facility for breastfeeding advocacy. Serving El Dorado County & Surrounding Areas Marshall includes Marshall Hospital, a fully accredited acute care facility with 111 beds located in Placerville; several outpatient facilities in Cameron Park, Placerville, El Dorado Hills, and Georgetown; primary and specialty care clinics, more than 190 affiliated physicians and providers, as well as a team of more than 1,600 employees providing quality healthcare services to residents of El Dorado County. Marshall’s executive leadership is governed by a local board of directors who volunteer their time to represent the needs and interests of a growing community. Marshall also has a dedicated group of Auxiliary members, adult and junior volunteers that lend their support.