Institutional & ProFee Claim Biller – Commercial

This is a fully remote position, open to applicants in New Hampshire.

📋 Description

• Execute the comprehensive business office services of TruBridge.

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

• Oversee daily operations of the hospital or clinic business office, which includes patient billing, credit and collections, data entry, relations with third-party payers, and preparation of insurance claims.

• Propose new processes and modifications to existing ones.

• Establish controls for the correct submission, billing, credit, and collections procedures.

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

• Ensure precise and prompt staff billing in line with established procedures and payer requirements.

• Achieve production and quality assurance benchmarks.

• Maintain high levels of customer service while safeguarding confidential customer information.

• Handle various paperwork and administrative tasks.

• Support team projects as needed.

• Assist the manager with coaching employees, training, disciplinary actions, and follow-up on action plans.

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

⛳️ Requirements

• Minimum of 3-5 years of Full-Cycle billing experience, including both Acute Hospital and/or Physician (Profee) claims.

• REQUIRED: Experience with Claims and Denial Queues.

• REQUIRED: Familiarity with Commercial claims.

• Strong skills in organization, multi-tasking, and time management.

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

• Capability to work independently as well as collaboratively within a team environment.

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

• Excellent critical thinking, organizational, and time management abilities, with a strong focus on detail, accuracy, and follow-through.

🏝️ Benefits

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

• Comprehensive benefits package, including 401(k).

• Generous time off policies.

• 10 paid holidays each year.

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

• Paid Parental Leave.

• Education opportunities provided by the company.