St. Charles Health System
100 years of care for all.
Insurance Biller
Location
Arizona + 12 moreAll locations: Arizona, Florida, Idaho, Montana, Nevada, New Mexico, North Carolina, Oklahoma, Oregon, Missouri, Tennessee, Utah, Wisconsin
Posted
1 day ago
Salary
$22 - $30 / hour
High School3 yrs expExperience acceptedEnglish
Job Description
• Bill facility (HB) and professional (PB) claims to insurance payers or other entities per SBO standard work.
• Submit basic itemized statements, medical records, and other required information to insurance payors via clearinghouse, mail, or other electronic means.
• Verify and update insurance coverage as applicable using EHR tools, payer websites, or via phone calls to payers.
• Resolve complex billing related claim edits within EHR, DNBs and Stop Bills.
• Resolve complex payer rejections including Medicare return to provider (RTP) and clearinghouse rejections (277’s).
• Split and combine claims as required by payer.
• Obtain ICN’s for pending corrected claims using EHR tools, payer websites, or via phone call to payers.
• Apply intermediate knowledge of current reimbursement methodologies as defined by department complexity matrix.
• Apply intermediate knowledge of billing requirements as defined by department complexity matrix.
• Process late charges using the late charge functionality.
• Generate and release medical records.
• Split charges to a separate HAR or liability bucket and combine charges to a single HAR as needed.
• Submit corrected claims.
• Update claim information including ICN, authorizations, billing information, or other required claim elements.
Job Requirements
- High school graduate or GED
- Course work in medical terminology or other revenue cycle functions such as RHIT or medical coding (preferred)
- Three years of healthcare experience, of which two years must have been in billing or equivalent role
- One year of Epic experience
- Knowledge of standard billing requirements
- Intermediate knowledge of payer reimbursement methodologies
- Basic skills in Microsoft Office applications including Excel, One Note, Outlook, and Word
Benefits
- Competitive Salary
- Comprehensive benefits including Medical, Dental, Vision for you and your immediate family
- 403b with up to 6% match on Retirement Contributions
- Generous Earned Time Off
- Growth Opportunities within Healthcare