Medical Biller Patient Accounts Full Time
What Will You Do?
As a Medical Biller at Pine Rest, you’ll be part of a tight‑knit team that believes in the healing power of your expertise and compassion. Working independently under Pine Rest Christian Mental Health Services policies and procedures, you will perform administrative billing duties such as compiling data, generating claims for services rendered, and compiling fees and charges. The role emphasizes excellent customer service, enthusiasm for the care offered, and fostering a sense of belonging and empowerment in a diverse workplace.
Responsibilities
- Ensure the accuracy and completeness of patient financial, insurance, and demographic information to submit compliant claims to third‑party payers.
- Submit claims that meet clean‑claim definitions to secure timely and accurate payment.
- Maintain knowledge of payer regulations, contracts, and billing requirements; act as a resource to clinical sites regarding these requirements.
- Contact insurance companies to obtain preauthorizations (where required), resolve outstanding balances, incorrect payments, claim denials, or obtain information needed to adjudicate claims.
- Work with clinical areas to resolve rejections and determine collectability or the need for adjustments.
- Process payment/claim resolution documents, making determinations on balances based on contractual arrangements and insurance coverage.
- Review insurance credits and take appropriate steps to resolve them.
- Maintain quality and productivity standards set by management.
- Document all account activity in the account notes.
Requirements
- High School diploma or equivalent (required).
- Six months of experience in a related field (required); experience in a healthcare‑related field is preferred.
- Knowledge of medical terminology and/or healthcare revenue‑cycle experience (preferred).
- Ability to read, understand, and follow directions, and perform computations.
Benefits
- Medical, dental, vision, and life insurance plans.
- 403(b) retirement match contribution by Pine Rest.
- Generous paid time off for full‑ and part‑time employees.
- Tuition assistance and loan forgiveness.
- Employee Assistance Program offering free and discounted services for therapy, legal, accounting, gym membership, etc.
- Partnership with Davenport University providing generous tuition discounts for employees and family members.
Pay
The equivalent base pay range for this position is $17.12 – $23.97. Your interview and offer letter will specify whether the role is hourly or salaried. This range does not include potential shift differentials, incentives, or bonuses, which may be part of the total compensation package. Final base pay will be determined based on location, experience, education, certifications, and FTE status.
Schedule
Weekly Hours: 40
Shift: First Shift (United States of America)