• Boulder City Hospital
  • Boulder City, NV
  • Aug 04, 2021
Full Time

Job Description

The Biller is responsible for handling patient billing, follow-up, collecting from insurance companies and resolving billing problems related to denials and rejected claims in the Patient Financial Services department at Boulder City Hospital. Essential Functions: Ability to lift, walk, carry and stand. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements are represented of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Duties and Responsibilties: Utilizes Critical Access (CAH) rules and regulations for billing. This position works in a cooperative team environment to provide quality customer service to internal and external customers. Processes billing for all patient types within their payer mix and/or alpha split utilizing manual and electronic (837) billing practices. Processes secondary billing according to hospital policies and procedures. Contacts payer/patient in accordance with the current facility collection policy. Ensures thorough and detailed collections, third party payer claims processing and billing practices are compliant with State and Federal Guidelines. Works aging reports to ensure timely clearance of accounts to meet/exceed AR aging benchmarks. Utilizes system work buckets for aging follow-up. Assists patients with billing inquiries in a courteous and professional manner. Assigns any accounts for review, refund or adjustment to the appropriate team member or PFS director. Consistently completes and accurately documents all account activities in the financial system for account auditing and compliance. Other duties as assigned. Skills and Abilities Required: Must have knowledge of Medical and Insurance terminology. Must possess computer skills knowledge of MS Office and the ability to use online insurance websites and/or online vendor applications and any other office equipment required for this position. Demonstrated experience working with inpatient and outpatient billing required related to UB04 and 837 electronic billing required. Long Term Care billing knowledge preferred. Knowledge of Government, Non-Government, commercial, third party and workers compensation processing guidelines. Working knowledge of current patient accounting systems and claims editing applications in a healthcare environment. Familiar with differences related to PPS and CAH billing practices preferred. Education and Experience Required: High School Graduate or equivalent. Must have knowledge of ICD-9 Coding, HCPCS, CPT and modifiers required. Must have one year of hospital experience.

Employment Type (feed only)

Full Time