Professional Insurance Biller

MMC001 Marshall Medical Center; San Francisco (CA); On-site; USD 31,000 - 38,000; Full time

Job summary

Marshall Medical Center in California seeks a Professional Biller for the MMF Physician Clinic Billing to handle all aspects of patient billing, claims processing, and revenue cycle management. This role acts as liaison among providers, patients, and payers, ensuring accurate and timely billing.

Responsibilities include reviewing bills for accuracy, submitting claims, following up with payers, handling inquiries, and complying with privacy and billing regulations, staying current with evolving

Qualifications

• High school diploma or GED required.
• Minimum 3 years’ billing experience.
• Knowledge of CPT, HCPCS, ICD-10 and insurance billing.
• Understanding of HIPAA and California confidentiality laws.

Responsibilities

• Review bills for accuracy and submit insurance claims.
• Manage collection activities and payer communications.
• Provide patient billing information and respond to inquiries.
• Stay informed on billing regulations and compliance.

Skills

Customer service

Data entry

Attention to detail

Multitasking

Communication

Education

High school diploma

Tools

Epic billing software

Microsoft Office

EHR systems

Billing terminology

Job description

POSITION SUMMARY

Department: MMF Physician Clinic Billing Shift: Primarily Days (United States of America) Employee Type: Regular Per Diem Type (if applicable): Minimum Pay Range: $22.69 - $27.23 The Professional Biller is vital to healthcare operations, responsible for managing all aspects of patient billing, including claim processing, payments, and revenue cycle management. They serve as a liaison between healthcare providers, patients, and insurance companies to ensure accurate, efficient billing processes. Key duties include reviewing bills for accuracy, submitting and following up on insurance claims, resolving discrepancies, and communicating with payers. They also are a resource regarding patient inquiries, perform collection activities, and ensure compliance with privacy and billing regulations. Staying informed of changing billing procedures and regulations is essential to maintain efficient and compliant billing operations.

POSITION QUALIFICATIONS

Education/Licensure/Certification: High school diploma or GED required.

Knowledge/Experience: Minimum 3 years’ billing experience required. Comprehensive working knowledge of medical terminology, CPT, HCPCS, ICD-10, insurance billing and appeals processes. Knowledge and use of Office, PC, Microsoft Office, EHR, Epic billing software, and basic office equipment. Current working knowledge of various Payers; Medicare, Medi-Cal, RHC, Commercial, workers compensation and other claims preferred. 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.