St. Charles Health System

100 years of care for all.

Insurance Biller

InsuranceInsuranceFull TimeRemoteTeam 1,001-5,000Since 1920H1B No SponsorCompany SiteLinkedIn

Location

Arizona + 12 moreAll locations: Arizona, Florida, Idaho, Montana, Nevada, New Mexico, North Carolina, Oklahoma, Oregon, Missouri, Tennessee, Utah, Wisconsin

Posted

11 days ago

Salary

$22 - $30 / hour

High School3 yrs expExperience acceptedEnglish

Job Description

• 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.

Job 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

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