Job Details

Position Description

OCCUPATIONAL SUMMARY

Bills commercial and managed care health insurance carriers and institutional payers on patient accounts in a timely and accurate manner.

PRIMARY DUTIES AND RESPONSIBILITIES

1. Prepares standardized, uniform, or customized claim forms to all commercial and managed care carriers in a timely and accurate manner.
2. Maintains current status in billing daily downloads as well as completing referrals and returned claims within the required timeframe.
3. Maintains current working knowledge of universal billing regulations and requirements as well as individual Northside Hospital procedures.
4. Works with all other departments through Billing Supervisor or Lead Biller, to resolve billing, system or administrative problems.
5. Prepares daily, weekly, and monthly billing production reports by the required deadline.
6. Mails necessary forms to third party payors in a timely manner.
7. Takes the initiative to solve routine problems and inquiries on individual accounts; referring serious problems to Lead Bill or Billing Supervisor.
8. Refers serious problems to supervisor.

Position Requirements

KNOWLEDGE SKILLS AND ABILITIES/LICENSE OR CERTIFICATION REQUIRED

1. One (1) year experience in billing, OR Associate’s Degree in Business.
2. Good verbal communication skills and basic typing ability.

KNOWLEDGE SKILLS AND ABILITIES/LICENSE OR CERTIFICATION PREFERRED

1. B.S. degree in Business or Accounting.
2. Two (2) years experience in insurance billing, or related area.
3. Prior hospital or healthcare experience.
4. Demonstrated knowledge of electronic billing systems.