Medical Biller Specialist

CHRISTUS Central Louisiana Surgical Hospital; Alexandria (VA); On-site; USD 36,000 - 54,000; Full time

Job summary

CHRISTUS Central Louisiana Surgical Hospital, based in Alexandria, VA, is seeking a Biller who will generate insurance claims and patient statements in a timely, accurate manner in accordance with facility policies.

The role reports to the Business Office Manager and requires a high school diploma and at least two years of hospital billing experience; automated billing system experience is preferred to ensure efficient workflow and KPI compliance.

Qualifications

• High School graduate or equivalent.
• Minimum of two years experience in hospital or medical facility business office.
• Automated billing system experience preferred.

Responsibilities

• Maintains standards to ensure systematic, consistent and timely filing of hospital claims.
• Ensures claims pass edits for correctness per payor requirements.
• Ensures unbilled claims are reviewed for correctness.
• Meets all standards set forth in Key Performance Indicators adopted by the Facility.
• Maintains current information on claims adjudication and payment policies on all third party payors and government intermediaries.
• Files Secondary claims to appropriate insurers.
• Provides management reports to the Business Office Manager as requested.
• Assumes other duties and responsibilities as necessary.
• Comply with facility Standards of Behavior and complete all required education assignments within the designated timeline.
• Reports regularly to the Business Office Manager about the status of current projects or workflow.

Skills

Billing experience

Automated billing software

Education

High School graduate or equivalent

Job description

JOB SUMMARY

The Biller’s job is to generate insurance claims and patient statement billing in a timely and efficient manner in accordance with the Facility policies.
Reports To: Business Office Manager
Classification: Non Exempt

QUALIFICATIONS

• High School graduate or equivalent
• Minimum of two years experience in hospital or medical facility business office.
• Automated billing system experience preferred.

OCCUPATIONAL EXPOSURE

Office Environment

RESPONSIBILITIES

1. Maintains standards to ensure systematic, consistent and timely filing of hospital claims.
2. Ensures claims pass edits for correctness per payor requirements.
3. Ensures unbilled claims are reviewed for correctness.
4. Meets all standards set forth in Key Performance Indicators adopted by the Facility.
5. Maintains current information on claims adjudication and payment policies on all third party payors and government intermediaries.
6. Files Secondary claims to appropriate insurers.
7. Provides management reports to the Business Office Manager as requested.
8. Assumes other duties and responsibilities as necessary.
9. Comply with facility Standards of Behavior and complete all required education assignments within the designated timeline.
10. Reports regularly to the Business Office Manager about the status of current projects or workflow.

PHYSICAL DEMANDS

1. The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
2. While performing the duties of this job the employee is frequently required to sit, converse, and listen; use hands to touch, handle, or feel objects, tools or controls; and to reach with hands and arms. Specific vision abilities required by this job include close vision and the ability to adjust focus.
3. The employee must be able to lift and/or carry over 20 pounds on a regular basis and be able to push/pull over 25 pounds on a regular basis.
4. The employee must be able to stand and/or walk at least two hours per day.

WORK ENVIRONMENT

1. The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.