Insurance Biller Collector - SMRMC-MG Patient Accounting

Overview

Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community! Saint Mary's Medical Group is affiliated with Saint Mary’s Regional Medical Center, one of the nation’s “100 Top Hospitals” and “A” rated for patient safety. We offer incredible opportunities to expand your horizons and be part of a community dedicated to making a difference.

Responsibilities

• Submit claims to the appropriate intermediaries and ensure that procedures and charges are coded in compliance with all payers including Medi-Cal and/or Medicare regulations
• Obtain required authorizations necessary for the processing and payment of claims
• Perform follow-up and denial management as necessary for final resolution
• Identify the various types of diagnosis and procedures codes (ICD9, CPT, HCPCS, DRG) as they relate to reimbursement
• Communicate clearly and efficiently by phone and in person with clients and staff members
• Maintain productivity standards and reports
• Obtain updated demographic information and all necessary information needed to comply with the various Government Programs billing requirements
• Operate computer to input follow up notes and retrieve collection and patient information
• Maintain proficiency in Medical Terminology

Qualifications

• Previous Billing Experience within a hospital Business Office Required
• Previous experience with government programs and collections preferred
• Knowledge of medical terminology
• Effective written and verbal communication skills
• Ability to multi-task, prioritize needs to meet required timelines
• Analytical and problem-solving skills
• Customer Services experience required
• High School Graduate or GED Equivalent Required (effective 4/1/14 for all new hires)

Schedule

Full Time, Days