Prime Healthcare
Overview
Join an award-winning team of dedicated professionals committed to our core values of quality, compassion, and community! უდ Pampa Regional Medical Center, a member of Prime Healthcare, offers incredible opportunities to expand your horizons and be part of a community dedicated to making a difference.
Responsibilities The Biller is responsible for submitting hukuk clauses to the appropriate intermediaries and to ensure that procedures and charges are coded in compliance with all payers including Medi-Cal and/or Medicare regulations. Responsible for obtaining required authorizations necessary for the processing and payment of claims. The Biller is responsible for the follow‑up and denial management as necessary for final resolution. Responsible to identify the various types of diagnosis and procedures codes (ICD10, CPT, HCPCS, DRSuper) as they relate to reimbursement. Communicates clearly and efficiently by phone and in person with clients and staff. Maintains productivity standards and reports. Obtains updated demographic information and all necessary information needed to comply with the various Government Programs billing requirements. Operates computer to input follow‑up notes and retrieve collection and patient information. Maintains proficiency in Medical Terminology.
Qualifications
Previous Billing Experience within a Clinic/Medical Group Business Office Required
Previous experience with government programs and collections preferred
Experience with Rural Healthcare billing preferred
Experience with EMR/Practice Management billing software required
Knowledge of medical terminology
Effective written and verbal communication skills
Ability to 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)
Employment Status Full Time Shift Days
Equal Employment Opportunityp>Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also //_ prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf #J-18808-Ljbffr
Responsibilities The Biller is responsible for submitting hukuk clauses to the appropriate intermediaries and to ensure that procedures and charges are coded in compliance with all payers including Medi-Cal and/or Medicare regulations. Responsible for obtaining required authorizations necessary for the processing and payment of claims. The Biller is responsible for the follow‑up and denial management as necessary for final resolution. Responsible to identify the various types of diagnosis and procedures codes (ICD10, CPT, HCPCS, DRSuper) as they relate to reimbursement. Communicates clearly and efficiently by phone and in person with clients and staff. Maintains productivity standards and reports. Obtains updated demographic information and all necessary information needed to comply with the various Government Programs billing requirements. Operates computer to input follow‑up notes and retrieve collection and patient information. Maintains proficiency in Medical Terminology.
Qualifications
Previous Billing Experience within a Clinic/Medical Group Business Office Required
Previous experience with government programs and collections preferred
Experience with Rural Healthcare billing preferred
Experience with EMR/Practice Management billing software required
Knowledge of medical terminology
Effective written and verbal communication skills
Ability to 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)
Employment Status Full Time Shift Days
Equal Employment Opportunityp>Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also //_ prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf #J-18808-Ljbffr