Req #750 COMMERCIAL HOSPITAL - BILLER

Job Type

Fulltime

Category

Non-Clinical

Location

Dorminy Medical Center

Job Description

KEY RESPONSIBILITES:

• Prepare, review, and submit medical claims to insurance carriers, commercial.

• Follow up on unpaid or denied claims, investigate reasons for denials, and resubmit claims as needed.

• Assist patients with billing questions, set up payment plans, and process patient payments.

• Verify patient insurance coverage and eligibility when needed.

• Work with physician office staff to resolve billing and coding discrepancies.

• Maintain compliance with HIPAA and other regulatory requirements.

• Generate and review monthly reports related to billing and accounts receivable.

• Stay updated on industry regulations, insurance policies, and coding changes.

 

Job Requirements

Education:

High school diploma or GED.   Must have people and communication skills

Prior Experience in Medical Billing is required.

 

PHYSICAL / MENTAL DEMANDS:

• Ability to follow proper lifting techniques and push wheelchairs with patient weights up to 25 lbs.  Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions of the position without compromising patient care.
• Ability to input data into computer.
• Ability to speak and hear clearly.
• Limited, possible communicable disease exposure.
• Requires exceptional interpersonal skills to be able to interview and obtain information from patients and interact with other hospital staff and outside persons.
• Work requires analytical abilities to determine priorities where options are limited and to gather information necessary to complete admission registration.  Must have the ability to work in a fast paced area, where the performance and concentration of several tasks may be required simultaneously.
• Ability to read and communicate in English; ability to speak Spanish, preferred.
• External and internal applicants who become disabled, must be able to perform the essential job functions either unaided or with the assistance of a reasonable accommodation to be determined on a case by case basis.

 

The duties, responsibilities and required skills for this role are outlined on the following pages and are the basis for competency and performance evaluations. This list is intended to describe the general nature of work to be performed and not intended to be an exhaustive list of all responsibilities, duties and skills required of personnel so classified.

Job Benefits

Medical 

Dental 

Vision 

DMC pays one time your salary in life insurance and your LTD benefits.

Optional Insurances - Voluntary Life for you, your spouse and children.  Short term disability. Accident with Hospital Indemnity and Critical Illness available.

Retirement 

Paid Time Off Accrual