Medical Biller I

Job Overview

The entry level Medical Biller's general responsibilities include ensuring timely claim submission, follow up with no response from payers, payer rejections, correspondence, and contract variances and appealing denials based on HB or PB requirements. The biller must ensure proper account documentation in the facility's billing system. Responsible to also provide excellent customer service skills by answering patient and third-party questions and/or addressing billing concerns in a timely and professional manner. Reviews, investigates, and resolves credit balances.

Job Responsibilities

• Participates willingly in payer communication, team huddles and supports others in sharing information and keeping up to date.
• Knowledge of systems used to include EPIC, Availity, and all payor portals.
• Consistently produces quality work and actions to move a claim to proper payment or account resolution while maintaining assigned work queues.
• Completes assigned workload based on key performance indicators daily to ensure standard productivity is met.
• Mets or exceeds approved target; collects 100% of net revenue booked based on remittance.
• Decreases AR greater than 90 days for Insurance accounts as set by department each year.

Job Requirements

• High School Diploma or GED or GED (Required)
• 1 - 2 years’ experience in related field (Required)
• Billing and Payer knowledge of Hospital and/or Physician Billing
• Working knowledge of ICD-9, ICD-10, and CPT terminology

Qualifications

TriHealth invests in its people - and this role is a strong foundation for long-term growth in healthcare billing.

Skills

Knowledge of systems used to include EPIC, Availity, and all payor portals.

Benefits

TriHealth offers a comprehensive benefits package including medical, dental, vision, paid time off, retirement plans, and tuition reimbursement. Please view our benefits page: here.

Pay

Not specified

Schedule

Fulltime (80 hours bi-weekly) Day Shift No Weekend, No Holiday No on Call Commitment