Department:
Hospital Patient BillingShift:
Employee Type:
RegularPer Diem Type (if applicable):
Minimum Pay Range:
$22.69 - $27.23Job Description:
POSITION SUMMARY:
The Insurance Biller ensures the accurate and timely completion of duties related to the billing of all hospital and home health claims assigned to the appropriate carrier: pursues collection of all claims in a timely manner until payment is made by insurance carriers ensuring payment variances are reviewed and resolved according to policy. Acts as a patient advocate with departmental and hospital staff, insurance carriers and patients in order to resolve billing issues and promote customer satisfaction. Assists with projects as needed.
POSITION QUALIFICATIONS:
Education/Licensure/Certification:
- High school graduate or equivalent required.
· Completion of on-line duty specific training required within 90 days of job start date.
Knowledge:
- Two years of facility billing desired.
- Working knowledge of Microsoft and Office products, and basic office equipment required.
- Understanding of governmental agencies, commercial insurances, state & county compliance guidelines with regards to billing preferred.
- Must have basic knowledge of Knox-Keene, ERISA and California State laws that impact the billing process.
- Must have basic knowledge of HIPAA and California State Confidentiality laws that impact the release of medical information.
Skills:
- Superior customer service skills including oral, written, and listening skills in dealing with patients, physicians’ office staff, co-workers, and payers.
- Has good organizational skills and flexibility.
- Ability to make reasonable independent decisions in the absence of immediate direct supervision that stay within hospital and department guidelines.
- Works as a team player assisting co-workers during periods of peak workloads and short staffing.
- Must possess the ability to multi-task and reprioritize workload in order to meet deadlines.
- 30 CWPM Data entry, ten-key skills required, basic filling skills, alphabetic, numeric and basic math skills required.
- Ability to interpret contract and rate sheets for insurance.
Skills Required
- High school diploma or equivalent
- Completion of online duty-specific training within 90 days of starting
- Working knowledge of Microsoft Office products and basic office equipment
- Superior oral, written, listening, and customer service skills
- Organizational skills, flexibility, and ability to multitask and reprioritize
- Ability to make independent decisions within hospital and department guidelines
- Ability to work collaboratively during peak workloads and short staffing
- Typing speed of 30 words per minute and ten-key proficiency
- Basic filing, alphabetic, numeric, and math skills
- Ability to interpret insurance contracts and rate sheets
- Two years of facility billing experience
- Understanding of governmental agencies, commercial insurance, and state and county billing compliance guidelines
- Knowledge of Knox-Keene, ERISA, and California state billing laws
- Knowledge of HIPAA and California confidentiality laws affecting medical information release
What We Do
Marshall Medical Center is an independent, nonprofit healthcare provider located in the heart of the Sierra Foothills between Sacramento and South Lake Tahoe in El Dorado County, California. Its mission is to improve the health of the community by offering high-quality, comprehensive primary and specialty medical services of superior value and quality, ensuring that essential healthcare is accessible to the residents of the region.
