Insurance Biller - COR - FT Days

Torrance Memorial Medical Center; Torrance (CA); On-site; USD 34,000 - 46,000; Full time

Job summary

Torrance Memorial Medical Center in Torrance, CA is seeking an Insurance Biller under direct supervision to handle billing and collections activities including reviewing codes, verifying insurance, posting charges and payments, and collecting monies from payors and patients.

The role requires 1 year of biller/collection experience in a medical setting, basic accounting skills, and 10-key by touch. Compensation ranges per hour and involves managing denials and lien-related tasks.

Qualifications

• 1 year biller/collection experience in medical office or hospital.
• Basic accounting skills.
• 10 key by touch.
• Experience with ICD-9/ICD-10 and CPT coding advised.

Responsibilities

• Posts hospital and office charges and payments.
• Reviews Explanation of Benefits to resolve accounts.
• Reviews claim scrubber and resolves claim edits.
• Verifies insurance eligibility and authorization.
• Transmits electronic remittances and statements.
• Runs aging and month-end reports.
• Performs collection actions with payers or patients.
• Responds to inquiries from payers, patients and departments.
• Documents detailed notes of actions taken.

Skills

Billing & collections

Insurance verification

Coding (ICD-9/ICD-10/CPT)

Denial resolution

Accounts aging

Job description

Under direct supervision, the Insurance Biller is responsible for all aspects of billing and collections activities including reviewing and auditing codes, verifying insurance, posting charges and payments and collection of monies from payors and/or patients.

Core Competencies

• Posts hospital and office charges and payments.
• Reviews explanation of benefits to resolve accounts.
• Reviews claim scrubber and resolves claim edits.
• Identifies and resolves payer issues and patient billing complaints
• Maintains payor-related items, such as EFTs and Payor IDs for 835s.
• Manages staff to oversee Explanation of Benefits are returned to staff within 1 week of request.
• Verifies insurance eligibility and authorization.
• Transmits electronic/ remittances and statements.
• Works monthly aging of PPO's, Medicare, HMO's, cash and Workers Compensation.
• Runs aging and month end reports.
• Documents detailed notes including action items taken, when appropriate.
• Responds timely and accurately to all incoming correspondence and inquiries from payers, patients and other departments.
• Performs collection actions including contacting patient, insurance companies, or third party payers.
• Reviews reports to identify denials from Medicare, PPOs, Worker Compensation, Commercial and Contracted carriers; corrects and resubmits claims using accurate ICD-9,ICD-10 and CPT codes; suggests action plans to eliminate denials in the future.
• Prepares and submits write off requests to Supervisor for denied claims that cannot be appealed.
• Elevates issues as appropriate to Supervisor.
• Participates in Performance Improvement.
• Assists with orientation and training of new employees/ volunteers, as assigned.
• Understands basic computer programs.

Education

Degree: N/A

Program: N/A

Experience

Number of Years Experience: 1

One year biller/collection experience in medical office or hospital. Basic accounting skills. 10 key by touch

License / Certification Requirements

Compensation Range:

$25.00 - 33.44 / Hour