Insurance Biller
St. Charles Health System
full-time
Posted on:
Location Type: Remote
Location: Arizona • Florida • United States
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Salary
💰 $22 - $30 per hour
About the role
- Bill facility (HB) and professional (PB) claims to insurance payers or other entities per SBO standard work.
- Submit basic itemized statements, medical records, and other required information to insurance payors via clearinghouse, mail, or other electronic means.
- Verify and update insurance coverage as applicable using EHR tools, payer websites, or via phone calls to payers.
- Resolve complex billing related claim edits within EHR, DNBs and Stop Bills.
- Resolve complex payer rejections including Medicare return to provider (RTP) and clearinghouse rejections (277’s).
- Split and combine claims as required by payer.
- Obtain ICN’s for pending corrected claims using EHR tools, payer websites, or via phone call to payers.
- Apply intermediate knowledge of current reimbursement methodologies as defined by department complexity matrix.
- Apply intermediate knowledge of billing requirements as defined by department complexity matrix.
- Process late charges using the late charge functionality.
- Generate and release medical records.
- Split charges to a separate HAR or liability bucket and combine charges to a single HAR as needed.
- Submit corrected claims.
- Update claim information including ICN, authorizations, billing information, or other required claim elements.
Requirements
- High school graduate or GED
- Course work in medical terminology or other revenue cycle functions such as RHIT or medical coding (preferred)
- Three years of healthcare experience, of which two years must have been in billing or equivalent role
- One year of Epic experience
- Knowledge of standard billing requirements
- Intermediate knowledge of payer reimbursement methodologies
- Basic skills in Microsoft Office applications including Excel, One Note, Outlook, and Word
Benefits
- Competitive Salary
- Comprehensive benefits including Medical, Dental, Vision for you and your immediate family
- 403b with up to 6% match on Retirement Contributions
- Generous Earned Time Off
- Growth Opportunities within Healthcare
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
billingclaims processingmedical codingreimbursement methodologiesEHR toolsclaim edits resolutionpayer rejections resolutionICN retrievallate charge processingmedical records generation
Certifications
RHIT