Patient Biller 3

About the Role

This role is responsible for billing and follow-up activities to maximize reimbursement from Commercial, Government, Medicare, and third-party payors within Patient Financial Services (PFS). PFS manages revenue cycle functions including DNFB, billing, contract management, insurance follow-up, charge audit, denials, underpayments, and related operational and functional reporting and support for hospital/facility billing. The position ensures account information contains accurate and comprehensive data to provide timely billing and optimal reimbursement for services rendered.

Responsibilities

• Billing and rebilling of complex accounts (30%)
• Auditing, adjusting, and reconciliation of accounts (15%)
• Researching billing discrepancies and payer responses (20%)
• Problem-solving to resolve billing issues and denials (25%)
• Adjusting accounts as needed (10%)

Requirements

• High School Diploma, GED, or equivalent work experience
• Previous billing experience in a healthcare environment
• Ability to interpret payments, correspondence, and denials from insurance companies, agencies, and other departments
• Independent decision-making skills to determine appropriate follow-up or billing actions
• Detail-oriented with strong organizational and time-management skills
• Adaptability to changes in policies, procedures, and management
• Strong interpersonal skills to collaborate with internal and external staff across business and clinical areas
• Excellent verbal and written communication skills
• Knowledge of medical terminology, basic medical coding, HCPCS/CPT, and Revenue Codes
• Demonstrated billing and collections experience in a healthcare setting
• Ability to meet production and quality standards
• Proficiency in analyzing and interpreting Explanation of Benefits (EOB) and Remittance Advice (RA)
• Accurate typing skills
• Ability to add, subtract, multiply, and divide whole and decimal numbers using a calculator
• Skill in analyzing and interpreting payer regulations to ensure compliance

Preferred Qualifications

• Bachelor’s degree in a healthcare-related field
• Epic experience
• Experience with electronic medical records systems
• Experience with hospital billing
• Demonstrated experience with credit and self-pay collections and reconciliation
• Experience with UB04 claims submission (paper and electronic)
• Ability to manage a heavy workload with frequently changing priorities and tight deadlines

Pay

Hourly pay range: $30.65 - $38.10

Schedule

Full-time (100%) position with an 8-hour shift. This role is hybrid, involving a mix of on-site and remote work.

Benefits

• High-quality, low-cost medical plans for you and your family
• UC-paid dental and vision coverage for you and your family
• Retirement plans, including pension and other retirement savings options
• Supplemental insurance (life, short/long-term disability, pet insurance, legal coverage, accident, critical illness, and hospital indemnity)
• Pregnancy and parental leave, family & medical leave, adoption assistance, and pay for family care and bonding
• Lactation support program and family care discounts
• Employee well-being resources and programming
• On-site Employee Assistance Program with free mental health services
• Generous paid holidays and paid time off/vacation/sick leave
• Continuing Education (CE) allowance and Staff Education Reimbursement Program
• Free professional development courses and learning opportunities
• Public Service Loan Forgiveness (PSLF) qualified employer and student loan debt counseling

Physical and Mental Demands

• Standing: Occasional, up to 3 hours
• Walking: Occasional, up to 3 hours
• Sitting: Frequent, 3 to 6 hours
• Lifting/Carrying: Occasional, 0-25 lbs, up to 3 hours
• Pushing/Pulling: Occasional, 0-25 lbs, up to 3 hours
• Bending/Stooping: Occasional, up to 3 hours
• Squatting/Kneeling: Occasional, up to 3 hours
• Twisting: Occasional, up to 3 hours
• Reaching overhead: Occasional, up to 3 hours
• Keyboard use/repetitive motion: Frequent, 3 to 6 hours
• Sustained attention and concentration: Frequent, 3 to 6 hours
• Complex problem-solving/reasoning: Occasional, up to 3 hours
• Ability to organize and prioritize: Frequent, 3 to 6 hours
• Communication skills: Frequent, 3 to 6 hours
• Numerical skills: Occasional, up to 3 hours
• Constant interaction: Frequent, 3 to 6 hours
• Customer/Patient contact: Frequent, 3 to 6 hours
• Multiple concurrent tasks: Frequent, 3 to 6 hours