Institutional & ProFee Claim Biller – Commercial & Medicaid

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

📋 Description

• Execute the comprehensive business office services provided by TruBridge.

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

• Oversee business office operations in hospitals and clinics, which encompass patient billing, collections, third-party payer relations, and insurance claim preparation.

• Manage business office functions and team members, including tasks related to patient billing, credit and collections, and data entry.

• Suggest new processes and modifications to existing procedures.

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

• Develop procedures for follow-up on third-party approvals, billing, and overdue account collections.

• Ensure billing accuracy and timeliness in line with set procedures and third-party requirements.

• Achieve production and quality assurance benchmarks.

• Provide high-quality customer service in accordance with company and customer policies and procedures.

• Engage in educational opportunities offered by the company.

• Safeguard confidential customer information.

• Handle miscellaneous paperwork and carry out administrative responsibilities.

• Support team projects.

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

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

⛳️ Requirements

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

• Experience with Claims and Denial Queues.

• Required familiarity with Commercial and Medicaid claims.

• Strong organizational, multitasking, and time management abilities.

• Must exhibit a keen attention to detail and be capable of resolving issues through to completion.

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

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

• Excellent critical thinking and organizational skills, with a strong emphasis on detail, accuracy, and follow-through.

🏝️ Benefits

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

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

• Generous paid time off policies.

• 10 paid holidays each year.

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

• Paid Parental Leave.