Insurance Biller Details

Insurance Biller

Parrish Medical Center - Titusville, FL

Employment Type : Full-Time

**To be considered please fill out the Application in the next step**
Schedule/Status:

8am-4:30pm; Full-time
Standard Hours/Week:

40

General Description:
Under the direct supervision of the Billing Supervisor, the Insurance Biller is responsible for timely and accurate submission of insurance claims, either electronic or paper. Key Responsibilities - Reviews all insurance claims both electronic and paper for accuracy of billing data. Corrections are made as necessary according to payor specific guidelines. All bills are processed daily. Monitors and reports all claims that are not billed at day end.- Identifies billing errors as related to charging and coding and reports to Revenue Integrity for resolution.- Billing problems related to Meditech and electronic billing software are reported to the Billing Supervisor for resolution.- Works electronic denials that are returned and notify Patient Account Representatives of denials.- Bills all secondary claims (paper and electronic) and pulls EOB's to send with paper claims.

Requirements:

Formal Education:

High School Diploma or GED

Experience:

Minimum of one (1) year related experience

KEY RESPONSIBILITIES

• Reviews all insurance claims both electronic and paper for accuracy of billing data. Corrections are made as necessary according to payor specific guidelines. All bills are processed daily. Monitors and reports all claims that are not billed at day end.
• Identifies billing errors as related to charging and coding and reports to Revenue Analyst for resolution. Billing problems related to Meditech are reported the Business Office Trainer for resolution. Problems related to the electronic billing software are reported to the Billing Supervisor for resolution.
• Work reports associated with the electronic billing process, and notify Patient Account Reps of denials. Paper claims that are secondary to Medicare are followed up by use of Meditech reports, and adjudicated.
• Rebills accounts returned by Patient Account Reps within specified guidelines. Any unpaid secondary to Medicare claims are rebilled as appropriate.
• Analyzes late charge/late credit report and determines the appropriate action.
• Reviews documentation from different payer sources that relates to the billing of claims. Attends seminars when appropriate.
• Performs similar or related duties as assigned.
• Knows fire, disaster and safety procedures and regulations as pertains to the work area.