Medical Biller - Full-time

Bristol Hospital; Bristol (CT); On-site; USD 45,000 - 65,000; Full time

Job summary

Bristol Health is seeking a full-time Insurance Biller to join our patient financial services team in Bristol, CT. You will manage billing and account reconciliation in a hospital/office setting, communicating with payers and patients to resolve balances.

Responsibilities include handling denials, self-pay follow-ups, and applying payments while staying compliant with HIPAA and departmental policies. Strong Excel/Office skills are required.

Qualifications

• High School Diploma and at least three years revenue cycle experience.
• English reading and writing required.
• Proficient with office applications and hospital software.
• Experience with insurance billing and patient accounts preferred.

Responsibilities

• Contacts insurance carriers to facilitate payments and resolve denials.
• Identifies barriers and develops solutions for billing operations.
• Manages daily work queue and clearinghouse denials.
• Supports self-pay follow up and payment plans.
• Reviews payer bulletins and stays updated.
• Communicates with departments and coding vendors to resolve issues.
• Responds to calls, emails, and faxes regarding patient billing.
• Updates account information and rebills to progress the cycle.

Skills

Communication

English proficiency

Organizational skills

Analytical skills

Customer service

Interpersonal skills

Education

High School Diploma

Bachelor's Degree Preferred

Tools

Meditech

eClinicalWorks

Excel

Word

Google Sheets

Google Mail

Job description

Insurance Biller Full Time 40 Hours BHI Valley St - Bristol, CT 06010 Overview Position Type: Full Time Job Shift: 1st Shift (Days) Education Level: High School Description At Bristol Health, we begin each day caring today for your tomorrow. We have been an integral part of our community for the past 100 years. We are dedicated to providing the best possible care and service to our patients, residents and families. We are committed to provide compassionate, quality care at all times and to uphold our values of Communication, Accountability, Respect and Empathy (C.A.R.E.). We are Magnet and received the 2020 Press Ganey Leading Innovator award for our rapid adoption and implementation of healthcare solutions during the COVID-19 pandemic. Use your expertise, compassion, and kindness to transform the patient experience. Make a difference. Make Bristol Health your choice.

Job Summary

In a hospital and/or professional office environment, the Systems Account Resolution Analyst is responsible for billing and patient account reconciliation. This job requires critical thinking skills, organizational skills, account investigation, claim escalation, and overall account resolution of a patients and/or insurance balances. This is accomplished by utilizing insurance web portals, call inquiries, written correspondence, and collaborating with internal departments. This role requires an employee to work in a team environment as well as independently. The System Account Resolution Analyst will contribute to meeting departmental goals as well as organizational goals.

Essential Job Functions and Responsibilities

• Contacts insurance carriers to facilitate payments, review underpayments and denials. Refer difficult accounts to denials team for further action
• Identifies barriers to efficient departmental operations related to self-pay billing/trends in insurance denial and takes an active role in developing appropriate solutions
• Actively works daily work queue and clearing house denials
• Assists the self-pay follow up team in areas such processing financial assistance applications, payment plans through third party vendor, preparing patient refund requests, processing bankruptcy notifications, return mail, etc
• Reviews payer bulletins to stay current on updates.
• Communicates with departments and Coding Vendor to resolve claim issues.
• Respond and take action related to calls, emails, and faxes related to patient billing in a timely and professional manner
• Uses a patient-centric approach to answer questions and provide information in a professional manner
• Understand all payer regulations to effectively communicate with patients about charges, payments and adjustments on their account
• Investigate patient inquiries/disputes surrounding charging, coding, payments, locations, services, insurance coverage, etc
• Works with individuals when appropriate at various levels of the organization to find resolution on patient disputes
• Updates account information (addresses, insurance, etc.) and rebills as appropriate to initiate the next steps in the billing and collection cycle

Qualifications Qualifications

• High School Diploma and at least three (3) years of revenue cycle experience which may include insurance and self-pay billing and collections, remittance processing, patient access and/or are other revenue cycle areas in a hospital or physician office setting. Bachelor's Degree Preferred
• Communicate effectively and work directly with third parties (insurance payers, patients, internal departments, vendors, leadership, etc.) to relay updates on patient accounts timely
• Ability to read and write in English is required
• Organize and articulate account disputes, and written letters of appeal
• Excellent customer service and communication as well as interpersonal, organizational and analytical skills
• Proficient in Office Applications (e.g. Excel, Word, Google Sheets, Google Mail)
• Comprehensive knowledge of Professional and/or Hospital revenue cycle
• Ability to work in a high volume setting and respond to insurance or patient inquiries in a timely manner
• Ability to identify and communicate payer trends and/or system trends
• Ability to navigate payer websites
• Knowledge of payer contracts, regulations and guidelines, as well as State and Federal laws relating to billing, collection, and financial assistance procedures preferred
• Familiar with medical and insurance terminology
• Proficient in the use of a computer and relevant hospital software applications e.g., Meditech and/or eClinicalWorks
• Understanding and adherence to HIPAA Regulations and Release of Information Rules
• Models teamwork through cooperation and collaboration within and outside the work group
• Ability to attain productivity and quality standards per department requirements

State/Federal Mandated Licensure or Certification Requirements

None.

Bristol Hospital Mandated Educational Requirements

General orientation at time of hire. Fire/Safety/Infection Control annually. Other programs as mandated by Hospital.

Special Requirements

Adapts at PC use - computer keyboard with minimum error.

Physical Requirements

Must maintain daily flexibility including but not limited to sitting and standing. Requires continual use of computer screen access and data input requiring dexterity and movement. Ability to efficiently move about the Business Office to retrieve and seek information necessary to decision make is required. Vision and hearing corrected to normal is essential.

Work Environment

Normal office conditions.

Cognitive Requirements

Must be able to think independently, analyze information, execute written and oral instructions, follow directions, speak, write and understand English and have good mathematical aptitude.

Disclaimer

The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities from time to time, as needed.