Insurance Biller

About the Role

This is a full-time, union position responsible for ensuring timely and accurate billing submissions, resolving accounts, and maintaining compliance with hospital billing policies and payer contracts.

Responsibilities

• Review patient account files for discharged patients to ensure accuracy and completeness.
• Identify and resolve billing discrepancies in a timely and professional manner.
• Determine portions of charges to be billed to insurance companies, third parties, or patients directly.
• Submit billings to insurance companies accurately and on time.
• Monitor outstanding accounts and identify past-due accounts promptly.
• Alert the department Director or Supervisor of any billing issues to ensure corrective actions are taken.
• Respond to inquiries from patients, insurance companies, and other parties regarding charges or billing discrepancies.
• Provide accurate billing-related information to hospital personnel, including Cashiers and Collectors.
• Handle telephone requests with courtesy, accuracy, and respect for confidentiality.
• Analyze pertinent information to make informed, objective decisions.
• Follow up on account charge inquiries and communicate findings to relevant parties.
• Maintain a thorough understanding of billing policies and procedures.
• Attend department meetings and in-service training to stay updated on policy or procedural changes.
• Review memos, newsletters, and bulletins to remain informed of relevant updates.
• Perform job duties independently with minimal supervision.
• Maintain strict patient confidentiality in accordance with HIPAA policies.
• Complete billing activity reports accurately.
• Demonstrate knowledge of Patient Accounting policies and procedures.
• Assist co-workers with daily tasks or special projects to support department efficiency.
• Comply with hospital policies regarding lunch and break times.
• Utilize work time effectively to complete tasks within established time frames without sacrificing quality.
• Perform other duties as assigned or requested.

Requirements

• High school graduate or equivalent; business courses preferred.
• Minimum of six months of hospital billing experience preferred.
• Strong verbal, written, and organizational skills.
• Knowledge of UB92/UB04 billing elements, ICD9, and CPT coding.
• Hands-on experience with personal computers, copiers, and fax machines.
• Operational knowledge of Microsoft Word and good bookkeeping skills.
• Highly motivated with a strong customer service orientation.
• Ability to work independently with minimal supervision.
• Willingness to assist in other areas as needed.
• Dependability and adherence to hospital policies, including HIPAA.

Schedule

Full-time position (1.0 FTE) with a schedule of 08:00 AM – 16:30 PM, following Holiday Pattern B.