Revenue Cycle Insurance Biller

CommonSpirit Health; United States; Remoto; USD 24.000 - 34.000; Tempo pieno

Descrizione del lavoro

CommonSpirit Health is seeking a Revenue Cycle Insurance Biller to join our remote team. You will manage end-to-end claims processing, from scrubbing to submission, ensuring accuracy, compliance, and timely reimbursement.

Responsibilities include resolving edits, handling claim rejections, validating eligibility, posting adjustments, and collaborating with clinics to improve denials and workflow. ICD-10 and CPT knowledge is essential.

Competenze

• High School Graduate
• Two years hospital billing/collection experience in a high-volume environment
• AHCCCS/ Medicare/government payer experience
• UB-04 billing experience
• Proficiency with computerized billing systems, Word, and spreadsheets

Mansioni

• Process and export clean claims to payers within 24 hours of import.
• Resolve billing software edits within 7 days to accelerate reimbursement cycles.
• Manage claim rejections by correcting coding errors and verifying patient insurance eligibility.
• Maintain high-level proficiency in medical coding and current billing compliance regulations.
• Collaborate with clinic leadership to identify and resolve recurring billing patterns.
• Meet or exceed established Fiscal Year goals for QA accuracy and daily productivity.

Formazione

Diploma

Two years college education

Strumenti

Cerner

Google Workspace

Descrizione del lavoro

Remote

About Us

Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation’s largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 158 hospital-based locations, in addition to its home-based services and virtual care offerings.

Our Mission

As CommonSpirit Health, we make the healing presence of God known in our world by improving the health of the people we serve, especially those who are vulnerable, while we advance social justice for all.

To learn more about a calling that defines and unites, please click here for more information about our mission, vision, and values.

The posted compensation range of $17.28 - $24.41 /hour is a reasonable estimate that extends from the lowest to the highest pay CommonSpirit in good faith believes it might pay for this particular job, based on the circumstances at the time of posting. CommonSpirit may ultimately pay more or less than the posted range as permitted by law.

Job Summary and Responsibilities

As our Revenue Cycle Insurance Biller, you will play a pivotal role in maintaining the financial health of our healthcare organization. You will be responsible for the end-to-end management of electronic and paper claims, ensuring that all submissions are accurate, compliant, and processed efficiently. By leveraging your expertise in medical coding and payer requirements, you will bridge the gap between clinical services and revenue realization, directly impacting our operational success and patient satisfaction.

Every day you will manage the full revenue cycle workflow, starting with the scrubbing of claims to ensure they are clean and error-free before submission to insurance carriers. You will proactively resolve billing edits, address claim rejections, and validate insurance eligibility to minimize denials. Your daily routine will also involve managing secondary insurance billing, posting necessary adjustments, and collaborating with cross-functional teams to resolve complex billing discrepancies that require meticulous attention to detail.

To be successful in this role, you will possess a strong command of ICD-10 and CPT coding standards, combined with a commitment to staying current on evolving insurance billing guidelines. You are a detail-oriented professional who excels at identifying trends in claims processing and participating in process improvement initiatives to drive departmental efficiency. With your professional communication skills and ability to meet strict productivity and quality assurance benchmarks, you will ensure our billing operations remain seamless, compliant, and highly effective.

• Process and export clean claims to payers within 24 hours of import.
• Resolve billing software edits within 7 days to accelerate reimbursement cycles.
• Manage claim rejections by correcting coding errors and verifying patient insurance eligibility.
• Maintain high-level proficiency in medical coding and current billing compliance regulations.
• Collaborate with clinic leadership to identify and resolve recurring billing patterns.
• Meet or exceed established Fiscal Year goals for QA accuracy and daily productivity.

Job Requirements

Required

• High School Graduate
• Two years Hospital billing/collection experience or other related healthcare provider claims experience in a high volume medical healthcare claim environment. (Includes health plan, hospital claims, reimbursement, appeals experience)
• AHCCCS/ Medicare/government Commercial payer
• UB-04 billing
• Previous experience with computerized billing systems, WordProcessing and Spreadsheet applications

Preferred

• Four years Hospital billing/collection experience
• Diploma
• Two years relevant college education and experience
• Experience with Google Workplace applications, Billing clearing house and Cerner