Institutional & ProFee Claim Biller – Commercial & Medicaid
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Job Description
Claims Biller processing Acute Hospital and Physician claims for TruBridge’s healthcare business services. Managing commercial and Medicaid billing, collections, denials, and payer relations remotely in the US.
Responsibilities:
- Execute TruBridge’s complete business office services
- Provide claims processing services to Critical Access Hospital (UB-04) and Rural Health Clinic (CMS-1500) facilities in New Hampshire
- Coordinate hospital and clinic business office activities, including patient billing, collections, third-party payer relations, and insurance claim preparation
- Coordinate business office functions and personnel, including patient billing, credit and collections, and data entry
- Recommend new processes and changes to current processes
- Implement controls for appropriate claim submission, billing, credit, and collections
- Implement procedures for follow-up on third-party approvals, billing, and overdue account collections
- Ensure accurate and timely billing in accordance with established procedures and third-party requirements
- Meet production and quality assurance standards
- Maintain quality customer service according to company and customer policies and procedures
- Participate in company-provided education opportunities
- Protect confidential customer information
- Process miscellaneous paperwork and perform administrative duties
- Assist with team projects
- Assist the manager with employee management, including coaching, training, disciplinary actions, and action-plan follow-up
- Ensure employee compliance with dress code, attendance, and other company policies
Requirements:
- At least 3-5 years Full-Cycle billing experience, to include BOTH Acute Hospital and Physician (Profee) claims
- Experience with Claims and Denial Que's
- Familiar with Commercial and Medicaid claims REQUIRED
- Strong organizational, multi-tasking, and time-management skills
- Must be detail oriented and able to follow through on issues to resolution
- Must be able to act both independently and as a team member
- High School Diploma or equivalent combination of education and relevant experience needed
- Excellent critical thinking, organizational, and time management skills with a strong attention to detail, accuracy, and follow through
Benefits:
- Work remotely with a work/life balance approach
- Robust benefits offering, including 401(k)
- Generous time off allotments
- 10 paid holidays annually
- Employer-paid short term disability and life insurance
- Paid Parental Leave
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