PB Claims Biller

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

📋 Description

• Serve as a liaison for hospitals and clinics utilizing TruBridge’s comprehensive business office services.

• Prepare and submit claims for hospitals, hospital-based physicians, and clinics to third-party insurance carriers via electronic methods or hard copy.

• Obtain medical documentation as required or requested by third-party insurance providers.

• Follow up on unpaid claims until payment is received or only self-pay balances remain.

• Address claim rejections by making accounts private, correcting billing errors, and resubmitting claims.

• Meet production and quality assurance benchmarks.

• Maintain customer service in accordance with company and client-specific policies and procedures.

• Enhance job knowledge through company training opportunities.

• Safeguard confidential customer information.

• Manage miscellaneous paperwork.

• Assist with team projects as needed.

• Submit all claims daily aiming for zero errors.

• Timely follow up on the status of insurance claims.

• Analyze and interpret Explanation of Benefits (EOBs).

• Address inquiries from insurance companies.

• Manage denial resolutions.

• Discuss and resolve reimbursement challenges or billing issues with the Billing Manager/Supervisor.

• Review late charge reports and file corrected claims or write off charges in line with client policies.

• Examine readmissions or overlapping service dates and take appropriate action based on payer rules and client policies.

• Review credit reports, resolve payer credits as possible, and submit credit listings to the facility as needed.

⛳️ Requirements

• A minimum of 3 years of experience in physician/ambulatory billing (Full Cycle) is required.

• PB Epic experience is required within the last 3 years.

• Proficient computer skills.

• Experience with CPT and ICD-10 coding.

• Knowledge of medical terminology.

• Ability to communicate effectively with various insurance payers.

• Experience in filing claim appeals with insurance companies to ensure optimal reimbursement.

• Responsible handling of confidential information.

• Strong written and verbal communication skills.

• Ability to manage multiple tasks simultaneously.

• Must adhere to Equal Employment Opportunity laws, HIPAA, ERISA, and other relevant regulations.

🏝️ Benefits

• Opportunities for education provided by the company.

• Protections for equal opportunity employment.