Biller - Claims & Denials - Full-Cycle Biller

The Full-Cycle Biller is responsible for providing TruBridge claims processing services to Critical Access Hospital (UB-04) and Rural Health Clinic (CMS-1500) facilities in New Hampshire. This includes coordinating the day to day activities of a hospital's or clinic’s business office such as patient billing and collection, third-party payer relations, and/or preparation of insurance claims. Essential Functions: In addition to working as prescribed in our Performance Factors specific responsibilities of this role include: • Coordinates business office functions and personnel that may include, but is not limited to patient billing, credit and collections, and data entry. • Recommends new processes and changes in current processes. • Implements controls to ensure appropriate submission, billing and credit and collections are kept in accordance with established procedures • Implements appropriate procedures for follow-up on third party approvals, billing, and collection of overdue accounts • Ensures that accurate and timely billing is being done by staff members in accordance with established procedures and third-party requirements • Responsible for consistently meeting production and quality assurance standards • Maintains quality customer service by following company policies and procedures as well as policies and procedures specific to each customer • Updates job knowledge by participating in company offered education opportunities • Protects customer information by keeping all information confidential • Processes miscellaneous paperwork • Ability to work with high profile customers with difficult processes • May regularly be asked to help with team projects • Responsible for assisting manager in the management of employees which would include coaching, training and performing necessary disciplinary actions including following up on action plans for their employees. • Maintains quality customer service by following company policies and procedures as well as policies and procedures specific to each customer • Ensures employee compliance with dress code, attendance and other company policies. • Processes miscellaneous paperwork and performs other administrative duties as assigned. Minimum Requirements: Education/Experience/Certification Requirements • At least 3-5 years Full-Cycle billing experience, can include Acute Hospital and/or Physician (Profee) claims • Experience with Claims and Denial Que's • Familiar with Commercial and Medicaid claims REQUIRED • Strong organizational, multi-tasking, and time-management skills. • Must be detail oriented and able to follow through on issues to resolution. • Must be able to act both independently and as a team member. • High School Diploma or equivalent combination of education and relevant experience needed. • Excellent critical thinking, organizational, and time management sills with a strong attention to detail, accuracy, and follow through Why join our team? • Work remotely with a work/life balance approach • Robust benefits offering, including 401(k) • Generous time off allotments • 10 paid holidays annually • Employer-paid short term disability and life insurance • Paid Parental Leave Originally posted on Himalayas