Biller I
Monument Health
full-time
Posted on:
Location Type: Remote
Location: Remote • South Dakota • 🇺🇸 United States
Visit company websiteSalary
💰 $17 - $21 per hour
Job Level
Junior
About the role
- Perform duties necessary to ensure the proper interpretation, processing, recording, approval and payment of inpatient and outpatient medical claims.
- Accurately reviews information for processing claims into a computerized system in accordance with the primary payer specifications and billing guidelines.
- Conduct timely follow up of claims.
- Use tools provided to track and trend patterns of claim submission issues that might require Compliance and Charge master staff to resolve, or HIPAA transaction code set review.
- Research payer requirements and offer suggestions to leadership for claims submission issues.
- Maintain and update appropriate system documentation to provide information regarding claim processing to internal or external customers.
- Identify unresolved requests of patient responsibility and transfers account to self pay.
- Perform duties and provides best customer service using behaviors that demonstrate responsibility and accountability.
- Participate in departmental activities related to performance improvement and quality control.
- Demonstrates a working knowledge of denial follow up and first level appeals.
- All other duties as assigned.
Requirements
- High School Diploma/GED Equivalent in General Studies
- 1+ years of Clerical Experience
- 1+ years of Medical Patient Accounts/Financial Services Experience
- Bachelors degree in Accounting, Business, Health Related Field
- Certified Clinical Account Technician (CCAT) - Accredited University or accredited training professionals
- Certified Patient Account Technician (CPAT) - Accredited University or accredited training professionals
Benefits
- Supportive work culture
- Medical, Vision and Dental Coverage
- Retirement Plans, Health Savings Account, and Flexible Spending Account
- Instant pay is available for qualifying positions
- Paid Time Off Accrual Bank
- Opportunities for growth and advancement
- Tuition assistance/reimbursement
- Excellent pay differentials on qualifying positions
- Flexible scheduling
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
medical claims processingbilling guidelinesdenial follow upfirst level appealsclaims submissionsystem documentationpatient responsibilityperformance improvementquality control
Soft skills
customer serviceresponsibilityaccountabilityleadershipcommunication
Certifications
Certified Clinical Account Technician (CCAT)Certified Patient Account Technician (CPAT)