Institutional & ProFee Claim Biller – Commercial & Medicaid

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

📋 Description

• Execute TruBridge’s comprehensive business office services.

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

• Oversee business office activities for hospitals and clinics, including patient billing and collections, third-party payer relations, and insurance claim preparation.

• Manage business office functions and staff, encompassing patient billing, credit and collections, and data entry.

• Suggest new processes and modifications to existing procedures.

• Implement controls for the appropriate submission, billing, credit, and collections.

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

• Ensure timely and accurate staff billing in line with procedures and third-party requirements.

• Meet established production and quality assurance standards.

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

• Safeguard confidential customer information.

• Process various paperwork and administrative tasks.

• Support team projects.

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

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

⛳️ Requirements

• A minimum of 3-5 years of Full-Cycle billing experience, which may include Acute Hospital and/or Physician (Profee) claims.

• Experience with Claims and Denial Queues.

• Familiarity with Commercial and Medicaid claims is REQUIRED.

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

• Must possess a keen attention to detail and the capability to follow through on issues until resolution.

• Ability to work both independently and collaboratively as part of a team.

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

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

🏝️ Benefits

• Enjoy the flexibility of remote work with a focus on work/life balance.

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

• Benefit from generous time-off policies.

• Receive 10 paid holidays each year.

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

• Paid Parental Leave.