Acute Claim Biller – UB04, CMS-1500

This is a fully remote position, open to applicants in United States.

📋 Description

• Perform comprehensive business office services on a daily basis.

• Deliver claims processing services for Critical Access Hospital UB-04 and Rural Health Clinic CMS-1500 facilities.

• Manage the business office activities of hospitals or clinics, which includes patient billing, collections, third-party payer relations, and insurance claim preparation.

• Oversee business office operations and staff, covering billing, credit and collections, and data entry.

• Suggest and implement improvements and controls for submission, billing, credit, and collections processes.

• Follow up on third-party approvals, billing, and collections of overdue accounts.

• Ensure billing is accurate and timely, adhering to established procedures and payer requirements.

• Achieve production and quality assurance benchmarks.

• Uphold customer service standards and safeguard confidential customer information.

• Engage in company educational initiatives and collaborative team projects.

• Support the manager in coaching employees, training, managing disciplinary actions, and following up on action plans.

• Ensure employees adhere to dress code, attendance, and company policies.

• Handle miscellaneous paperwork and carry out other assigned administrative tasks.

⛳️ Requirements

• Minimum of 3–5 years of experience in full-cycle billing, encompassing Acute Hospital and Physician (Profee) claims.

• Experience with Claims and Denial work queues.

• Proficiency in using eClinicalWorks E.M.R. is mandatory.

• Familiarity with Commercial, Workers Comp, and VA claims is essential.

• Strong organizational skills, ability to multitask, and effective time-management abilities.

• Attention to detail, with a capability to follow through on issues until they are resolved.

• Ability to work independently as well as collaboratively within a team.

• High School Diploma or an equivalent combination of education and relevant experience.

• Exceptional critical thinking, organizational, and time-management skills, with a keen eye for detail, accuracy, and follow-through.

🏝️ Benefits

• Opportunities for education provided by the company.

• Flexible remote work options.

• Commitment to equal opportunity employment.