Accounts Receivable Biller

Responsible for timely billing, internal review process, and insurance functions in an ASC Setting.

• Files appeals timely on underpaid or denied accounts with a good understanding of medical necessity guidelines specific to procedures.
• Effectively makes payment arrangements with patients for timely resolution of balances, following self-pay policy.
• Posts write-offs, account adjustments, and corrections daily to patient accounts. Enters and reconciles all charges and credits to patient accounts.
• Files electronic and/or paper insurance claims daily.
• Reviews each Explanation of Benefits received with payments to verify determination of payment to the facility has been reimbursed correctly and begins the appeal process as necessary.
• Reviews the status of assigned accounts for unpaid claims and follows up appropriately with insurance companies or patients.
• Uses or has knowledge of how to appropriately use the Medicare FISS system, Medicaid system, and HLT and Waystar system for billing and claims inquiry.
• Uses time effectively and productively, eliminating distractions.
• Works insurance aging effectively and timely to meet department goals.
• Assists the Patient Service Manager with reports or other projects as requested.
• Handles phone calls from assigned accounts regarding account balances or insurance filings.
• Documents concisely, precisely, and accurately on records or documents as indicated by policy.
• Communicates effectively and works cooperatively and professionally with all co-workers, management, patients, visitors, physicians, and others. Demonstrates work as a team player.
• Participates in Quality Assessment activities as directed for the continuous improvement of patient care and hospital business.

• Performs other duties as assigned.
• Actively supports and upholds the mission and core values of the hospital.
• Remains knowledgeable of and follows the policies of the hospital.
• Maintains patient and hospital confidentiality at all times.
• Keeps the Manager apprised of day-to-day situations.

• High school diploma or equivalent required.
• Two years of previous experience with accounts receivable, billing, and insurance required.
• Computer skills, basic office skills, and knowledge of medical terminology required.

• Must be able to read and speak English fluently.
• Requires cognitive skills for math, reading, computer skills, and communication skills to interact effectively with the public and peers.
• Vision requirements: near, mid-range, far, and accommodation.
• Hearing requirements: low, medium, and high-pitched sounds.
• Minimal up-and-down activity may be required.
• Job risks include exposure to computers for 6-7 hours per day with typing activities.
• Must be able to lift a maximum of 20-30 pounds.