Biller III

This is a fully remote position, open to applicants in Arizona, +20 more states.

📋 Description

• Submit medical claims for hospitals in compliance with federal, state, and payer-specific regulations.

• Conduct research, analysis, and review of errors and rejections in hospital claims, implementing necessary corrections.

• Ensure accurate submission and payment of hospital claims by reviewing and rectifying claim edits, errors, and denials.

• Stay updated on payer changes and process adjustments to guarantee precise claim submissions.

• Investigate and follow up with payers to manage assigned claims effectively.

• Identify reasons for non-covered charges and take the appropriate steps to address them.

• Execute billing adjustments and postings as needed.

• Ensure timely management of billing reroutes in accordance with company protocols.

• Escalate any stalled hospital claims to management for further action.

• Recognize and communicate specific issues related to payers to both the team and leadership.

• Actively participate in daily shift briefings and contribute to team discussions.

• Meet productivity targets while maintaining high-quality standards.

• Open to receiving feedback for ongoing performance enhancement, with a strong desire to grow and learn.

• Be punctual, reliable, and adaptable to changes in the work environment.

• Exhibit strong character by demonstrating accountability and responsibility in all tasks.

• Execute job responsibilities using ethical decision-making practices.

• Perform additional job responsibilities as assigned.

⛳️ Requirements

• High school diploma or equivalent is required; an Associate degree is preferred.

• A minimum of 4 years of experience working with health insurance companies to secure payment for medical claims.

• At least 3 years of experience in billing hospital claims and filing appeals with health insurance providers.

• Familiarity with clearinghouse systems like Waystar, Quadex, SSi, or similar platforms for billing purposes.

• Proficient in Microsoft Office Suite, Teams, and various desktop applications.

• Knowledge of coding guidelines related to claim errors.

• Understanding of the rules and regulations governing Healthcare Revenue Cycle administration.

• Familiarity with ICD-10 diagnosis and procedure codes, as well as CPT/HCPCS codes.

• Strong investigative abilities to identify and address reasons for non-payment on medical accounts.

• Proficient in computer usage and Microsoft Office Suite/Teams, with experience in GoToMeeting/Zoom.

• Capable of making informed decisions and taking appropriate actions.

• Demonstrates a positive attitude and a pleasant demeanor in the workplace.

• Willingness to learn, grow, and constructively respond to feedback for continuous improvement.

• Maintains professional interactions with colleagues and demonstrates punctuality and reliability.

• Able to adapt to change easily and perform duties with ethical decision-making.

• Shows accountability, responsibility, and achievements in the revenue cycle process.

🏝️ Benefits

• Paid time off

• 401(k) plan

• Health insurance (medical, dental, and vision)

• Life insurance

• Paid holidays

• Training and development opportunities

• Focus on wellness and support for work-life balance

• More