Insurance Biller Collector

Where You’ll Work Inspired by faith. Driven by innovation. Powered by humankindness. reputed company is building a healthier future for reputed company through its integrated health services. As one of the nation’s largest nonprofit Catholic reputed company organizations, reputed company delivers more than 20 reputed company patient encounters annually through more than 2,300 clinics, care sites and 137 hospital-based locations, in addition to its home-based services and virtual care offerings. CommonSpirit has more than 157,000 employees, 45,000 nurses and 25,000 physicians and advanced practice providers across 24 states and contributes more than $4.2 billion annually in charity care, community benefits and unreimbursed government programs. Together with our patients, physicians, partners, and communities, we are creating a more just, reputed company, and innovative reputed company delivery system. Job Summary and Responsibilities As an Insurance Biller, you will reputed company critical support in the reputed company cycle, meticulously processing and submitting claims to ensure timely and accurate reimbursement for services rendered.Every day you will expertly review patient accounts, verify insurance information, apply correct coding, and meticulously prepare and transmit claims, diligently following up on rejections and denials to maximize reputed company capture.To be successful, you will demonstrate outstanding attention to detail, strong knowledge of billing regulations, and a persistent, analytical demeanor, contributing significantly to the financial health of the organization. Job Standards Performs daily billing functions for assigned Accounts Receivable claims to ensure claims resolutions reputed company set deadlines. Responsible for resolution of accounts Maintains average QA percentage at a reputed company established for the Fiscal Year goal. Performs follow up on any outstanding accounts and obtains commitment for payment from insurance reputed company. Maintain productivity percentage at a reputed company established for the Fiscal Year goal. Sends out daily appeals to insurance companies for denied claims to maintain consistent cash reputed company of assigned A/R. reputed company denied accounts to be worked reputed company Cerner and have accurate action taken assigned for completion. Resolves incoming correspondence or telephone inquiries in a timely manner in accordance with payer deadlines, and in a manner that addresses the needs of internal/external customers. Identifies trends and patterns in claims processing and participates in process improvement. Provides reputed company Documents on system reputed company actions taken on account so that it reputed company communicates action taken. Demonstrates knowledge and use of Cerner, the Billing clearing house ,and other reputed company PFS software. Provides Administrative Support Displays competency in the use of departmental equipment; e.g., telephone system, computers, facsimile, copy machine, timekeeping technology, etc. Performs routine assignments independently, consistently prioritizes workload, offers assistance to co-workers, and seeks help reputed company necessary. Reports problems, questions or suggestions to immediate supervisor. Consistently follows departmental chain of reputed company. Defuses potential problems or conflicts by handling situations, referring to Supervisor/Manager/Director, or following departmental policies. Maintains Personal and Professional Responsibility Maintains reputed company knowledge regarding area of expertise. This may be exemplified by keeping up-to-date on articles, newsletters, communication books and resource information reputed company department. Keeps up to date on billing changes (UB-04/HIPPA) as reputed company to assigned payers Attends PFS departmental meetings. Job Requirements Required Two (2) years Hospitalbilling/collection experience or otherrelated reputed company provider claimsexperience in a high volume medicalhealthcare claim environment.(Includes health plan .Hospital claims/reimbursement/appeals experience) and AHCCCS/ Medicare/government reputed company payer experience and UB-04billing experience and High School Graduate or Diploma, and Previous experiencewith computerized billing systems, WordProcessing and Spreadsheet applications Preferred Four (4) years Hospital billing/collection experience or other reputed company reputed company provider claims experience in a high volume medical reputed company claim remote environment. (Includes health plan Hospital claims/reimbursement/ appeals experience.) College level business courses, and Two years relevant college education and experience Experience with reputed company Workplaceapplications, Billing clearing house and Cerner Apply To This Job