Institutional & ProFee Claim Biller – Commercial

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

📋 Description

• Oversee the comprehensive business office services of TruBridge.

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

• Manage business office operations for hospitals and clinics, encompassing patient billing and collections, third-party payer relationships, and insurance claim preparation.

• Supervise business office roles and functions, including patient billing, credit and collections, and data entry.

• Suggest new procedures and modifications to existing processes.

• Establish controls for proper submission, billing, credit, and collections.

• Develop procedures for follow-up on third-party approvals, billing, and collection of overdue accounts.

• Guarantee accurate and timely billing for staff in accordance with established protocols and third-party requirements.

• Achieve production and quality assurance benchmarks.

• Provide high-quality customer service in alignment with company and client-specific policies and procedures.

• Enhance job knowledge through educational opportunities offered by the company.

• Safeguard confidential customer information.

• Handle miscellaneous paperwork and perform administrative tasks.

• Collaborate with high-profile clients and navigate complex processes.

• Contribute to team projects.

• Support the manager in employee management tasks, including coaching, training, disciplinary actions, and follow-up on action plans.

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

⛳️ Requirements

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

• Required experience with Claims and Denial Queues.

• Familiarity with Commercial claims is mandatory.

• Strong organizational, multi-tasking, and time management capabilities.

• Attention to detail is crucial, along with the ability to see issues through to resolution.

• Ability to work independently as well as collaboratively in a team setting.

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

• Exceptional critical thinking, organizational, and time management skills, with a keen 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.

• Ample time off allowances.

• Ten paid holidays each year.

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

• Paid Parental Leave.