The Revenue Cycle Biller will work on all billing and payment-related functions. This role will undertake a variety of financial and non-financial tasks to ensure timely submission and processing of claims, timely payment posting, and will work with Revenue Cycle Billing Supervisor and/or Manager on projects as assigned.
ESSENTIAL FUNCTIONS
- Reviews and processes all charges and data entered in the system for claims,
- Submits claims to insurance companies daily.
- Performs all defined payment and cash posting functions for Electronic Fund Transfers and paper checks.
- Assists in the collection of insurance payments.
- Appeals, trouble shoots, and prepares denied claims for rebilling, inquires, and corrects unpaid claims for re-submission.
- Requests and follows up on additional information as needed for auditing of claims and all revenue reports including eligibility, benefits, and provider information.
- Audits claims daily to ensure timely collections. Reviews Explanation of Benefits (EOB's) to ensure compliance with billing practices.
- Processes all correspondence related to billing.
- Maintains regular and predictable attendance.
- Perform other duties as requested.
Position Qualifications
Minimum Qualifications: ·
- High school diploma or General Education Development (GED)
- Understanding of medical billing and payments.
Preferred Qualifications:
- Experience with eClinicalWorks or other Electronic Health Records (EHR) systems.
- Administrative experience, preferably in a health care setting.
- Bilingual Spanish