Biller – Claims & Denials, Full-Cycle Biller

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) in New Hampshire.

• Oversee daily business office functions, encompassing patient billing, collections, relations with third-party payers, and preparation of insurance claims.

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

• Suggest new procedures and modifications to existing processes.

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

• Develop protocols for follow-ups on third-party approvals, billing, and collections of overdue accounts.

• Guarantee precise and timely billing in line with established protocols and third-party requirements.

• Achieve production and quality assurance benchmarks.

• Maintain high-quality customer service in accordance with company and client-specific policies.

• Safeguard confidential customer data.

• Handle paperwork and perform administrative tasks.

• Contribute to team projects.

• Support the manager in employee management activities such as coaching, training, disciplinary measures, and follow-ups on action plans.

• Ensure compliance of employees with dress code, attendance, and other organizational policies.

⛳️ Requirements

• Minimum of 3-5 years of full-cycle billing experience, which may include Acute Hospital and/or Physician (Profee) claims.

• Proficient in managing Claims and Denial Queues.

• Required familiarity with Commercial and Medicaid claims.

• Exceptional organizational, multitasking, and time management abilities.

• Must possess a keen attention to detail and the ability to resolve issues effectively.

• Capable of working both independently and collaboratively as part of a team.

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

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

🏝️ Benefits

• Opportunity to work remotely with a focus on work/life balance.

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

• Generous allocation of time off.

• 10 paid holidays each year.

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

• Paid parental leave.

• Educational opportunities provided by the company.