- three years' experience of hospital billing and or collections minimum
- High School graduate or equivalent minimum47
- Previous hospital business office experience required.
- Type 40 wpm.
- Proficient in Word, Excel.
- Knowledge of medical terminology.
- Knowledge of Medicare, Medi-Cal, HMO, PPO, EPO, POS and other third-party payers.
- Bilingual (English/Chinese or English/Spanish) preferred.
- Excellent customer service skills.
- Good written and verbal communication skills.
- Excellent Customer service skills
- Attention to detail and accuracy.
- Problem analysis and problem solving skills.
- Team member
- Collaboration among team
- Stress tolerance.
- Sense of urgency
- Tenacious
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Biller/ Collector - Alhambra, United States - Alhambra Hospital Medical Center
Description
Bill all payers on a daily basis to accurate payer timely and with required regulations. Assist patients with Billing questions and assist other team members with billing projects. Accept collection calls, answer their calls timely and provide a resolution. Provide excellent customer service to patients, insurance and our doctors. Analyze data to determine accurate payer and request payments and dispute any underpayments. Resolve accounts in a timely manner. Escalate trends to director and manager to track root causes. Will prepare daily calls to multiple payers and work any correspondence received.
"All persons offered employment must be fully vaccinated against COVID-19 (completed the primary vaccine series and received one booster) OR have received a single dose of bivalent COVID-19 vaccine by the date of hire, unless they qualify for an exemption for a qualifying medical reason or religious belief."
Requirements
EXPERIENCE AND EDUCATION:
Biller Works under the supervision of the Billing lead and reviews dropped claims in the Clearing-house system on a daily basis and ensures they are ready to be billed. Edit claims according to the CMS (Medicare), Medi-Cal and Managed Care billing regulations/guidelines. Conducts claims' edit (Diagnosis, Rev Code, CPT, HCPCS and Unit of services to ensure full compliance with NCCI, LCD, NCD and UB04 coding guidelines to ensure clean claim and timely submission. Maintains a minimum productivity goal 60-80 claims per day.Performs account follow-up when a claim is un-paid within 35 days from the billed date.Performs other duties and projects as assigned.
Additional Information
Monday to Friday , 8:00 a.m. to 4:30 p.m.