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St. Elizabeth Healthcare

Insurance Biller

St. Elizabeth Healthcare, Frankfort, Kentucky, United States

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Insurance Biller

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St. Elizabeth Healthcare

This position is responsible for timely and accurate billing of assigned accounts to a variety of payors using the computerized patient accounting systems. Responsibilities also include staying current with UB‑04 and HCFA‑1500 billing requirements, HIPAA Regulations, Payor Regulations, and Payor Contractual Agreements to ensure proper billing and compliance.

Why You’ll Love Working with St. Elizabeth Healthcare At St. Elizabeth Healthcare, every role supports our mission to provide comprehensive and compassionate care to the communities we serve. For more than 160 years, St. Elizabeth Healthcare has been a trusted provider of quality care across Kentucky, Indiana, and Ohio.

Benefits That Support You

Competitive pay and comprehensive health coverage within the first 30 days

Generous paid time off and flexible work schedules

Retirement savings with employer match

Tuition reimbursement and professional development opportunities

Wellness, mental health, and recognition programs

Career advancement through mentorship and internal mobility

Job Summary This position is responsible for timely and accurate billing of assigned accounts to a variety of payors using the computerized patient accounting systems. Demonstrate respect, dignity, kindness, and empathy in each encounter with all patients, families, visitors and other employees regardless of cultural background.

Billing Responsibilities

Review bills and related information for accuracy and reasonableness of charges

Audit claims for overlap and resolve issues with medical records and revenue department heads

Submit bills to payers electronically if possible, otherwise paper

Proficient in Commercial/Medicare/Medicaid Government regulations and reimbursement policies

Stay current with third party contractual arrangements and regulations to apply requirements for accurate billing

Compute required adjustments to bills, balances to support, and input debits/credits to billing system to appropriate codes to ensure accurate billing

Follow up on unbilled claims pending Medical Records coding, claim forms, etc. to bill on a timely basis

Perform due diligence on all collection efforts

Assume duties of supervisor or lead as needed and assist co‑worker in problem solving, with reports, meetings, etc.

Meets productivity and quality standards on a weekly basis

Ensure timely turnaround of internal requests (EOBs, medical records)

Other Responsibilities

Complete special projects & tasks by the established time frame, proactively notify supervisor of any barriers that prohibit billing and/or payment of claims

Execute training of contract staff (internal and external)

Act as a preceptor for new employees and as a resource within the department

Communication/Trending

Trends weekly productivity, Billing CFB, Open AR

Edit WQs to secure required data necessary for billing

Attends weekly billing staff meetings

Identifies payer & billing issues and participates in a positive & constructive manner

Respond to internal and external customer calls or concerns

Continuing Education & Training

Seeks opportunity for training & informs supervisor of all training needs

Attends seminars and workshops to obtain billing and follow up information related to specific payers

Education, Credentials, Licenses

High School diploma or GED

Specialized Knowledge

PC skills, including Word and Excel

Detail oriented, customer service skills, excellent communication skills, billing or follow up experience

Kind and Length Of Experience

One year experience in billing or follow-up activities

Experience in customer service, billing or related field

FLSA Status Non‑Exempt

Seniority Level Entry level

Employment Type Full‑time

Job Function Accounting/Auditing and Finance

Industries Hospitals and Health Care

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