Biller – Claims & Denials

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

📋 Description

• Deliver TruBridge claims processing services to Critical Access Hospitals (UB-04) and Rural Health Clinics (CMS-1500) located in New Hampshire.

• Oversee daily operations of the business office, encompassing patient billing, collections, third-party payer relations, and preparation of insurance claims.

• Manage business office activities and staff, including patient billing, credit and collections, and data entry.

• Suggest and execute new or enhanced processes.

• Establish controls for accurate claim submissions, billing, credit, and collections.

• Follow up on approvals from third-party payers, billing issues, and collection of overdue accounts.

• Ensure billing is precise and timely, adhering to procedures and requirements from third parties.

• Meet established production and quality assurance benchmarks.

• Maintain high standards of customer service while protecting confidential client information.

• Complete paperwork and undertake various administrative tasks.

• Support team projects.

• Aid the manager in coaching, training employees, addressing disciplinary matters, and following up on action plans.

• Ensure staff adherence to dress code, attendance, and company policies.

⛳️ Requirements

• A minimum of 3-5 years of Full-Cycle billing experience, which may include Acute Hospital and/or Physician (Profee) claims.

• Experience with Claims and Denial Queues.

• Required familiarity with Commercial and Medicaid claims.

• Strong organizational, multitasking, and time management abilities.

• Must possess attention to detail and the capability to resolve issues effectively.

• Ability to work both independently and as part of a team.

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

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

🏝️ Benefits

• Opportunity to work remotely while maintaining a healthy work/life balance.

• Comprehensive benefits package, including a 401(k) plan.

• Generous time-off policies.

• 10 paid holidays each year.

• Employer-funded short-term disability and life insurance.

• Paid Parental Leave.

• Education opportunities provided by the company.