Institutional & ProFee Claim Biller – Commercial
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Job Description
Remote commercial claims biller processing UB-04 and CMS-1500 claims for TruBridge’s healthcare business office services. Supporting billing, collections, payer relations, quality, and staff coordination.
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 day-to-day hospital or clinic business office activities, including patient billing, credit and collections, data entry, third-party payer relations, and insurance claim preparation
- Recommend new processes and changes to current processes
- Implement controls for appropriate submission, billing, credit, and collections
- Follow up on third-party approvals, billing, and overdue account collections
- Ensure accurate and timely staff billing in accordance with procedures and payer requirements
- Meet production and quality assurance standards
- Maintain customer service and protect confidential customer information
- Process miscellaneous paperwork and administrative duties
- Assist with team projects
- Assist the manager with employee coaching, training, disciplinary actions, and action-plan follow-up
- Ensure employee compliance with dress code, attendance, and company policies
Requirements:
- At least 3-5 years Full-Cycle billing experience, to include BOTH Acute Hospital and/or Physician (Profee) claims
- Experience with Claims and Denial Que's REQUIRED
- Familiar with Commercial 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 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
- Company offered education opportunities
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