Insurance Biller (Business Office)

Job Summary The Insurance biller is responsible for correcting claims, timely submission of claims to insurance companies, follow-up on outstanding claims, and posting the Blue Cross 835 remits. Responsibilities Responsible for the processing and submission of clean, accurate claims. Escalates items identified missing information on claims working with other HHH Directors and/or departments. Understands the various insurance contracts to ensure accurate payments. Discuss matters with the Director as they occur, related to billing and/or day-to-day operations of the Business Office. Assist in special projects and attend meetings/trainings as directed. Work aging reports monthly. Review claims rejections and/or EOBs for correction and resubmission if necessary. Correct 837 claims rejections Participates in audits as required. Answers inquiries concerning Blue Cross accounts from patients, other facilities, and hospital personnel. Meets department productivity requirements as set by manager. Responsible for posting the Blue Cross and BRMS 835 remit files. Follow up on outstanding claims assigned on work queue Performs other duties as assigned. Required Skills/Abilities Strong computer skills, with a basic understanding of MS Outlook, Word and Excel. Ability to handle large volumes of work while meeting deadlines. Ability to deal calmly and effectively with situations while maintaining and promoting a professional positive attitude. Excellent attention to detail and accuracy. Able to organize and prioritize tasks in order to complete all work assigned. Knowledge of insurance guidelines, HMO/PPO policies, other payer requirements and systems. Must be familiar with CPT and the latest coding guidelines. Experience with billing and collection practices Education & Experience High School Diploma or GED Minimum of one to three years of experience in a healthcare billing setting Knowledge of UB04, HCFA 1500, ANSI 835, ANSI 837, HCPCS, and CPT codes Job Type: Full-time, Variable Shift Pay: $22.00 - $25.00 per hour 401(k) Employee assistance program Health insurance Life insurance Paid time off Vision insurance Ability to Commute: Ability to Relocate: Hollister, CA 95023: Relocate before starting work (Required) All job offers are contingent upon the successful completion of a background check, physical exam, drug test, and verification of education qualifications and credentials. San Benito Health Care District is an equal opportunity employer. In accordance with applicable law, we prohibit discrimination and harassment against employees, applicants for employment, individuals providing services in the workplace pursuant to a contract, and volunteers based on their actual or perceived: race, religious creed, color, national origin, ancestry, physical or mental disability, medical condition, genetic information, marital status (including registered domestic partnership status), sex (including pregnancy, childbirth, lactation and related medical conditions), gender (including gender identity and expression), age (40 and over), sexual orientation, status, military and veteran status and any other consideration protected by federal, state or local law (sometimes referred to, collectively, as protected characteristics). Have you ever worked for the Hospital, in any of our locations, either as an employee or through an employment agency?* Are there any areassuch as education, certifications, or skillswhere you feel additional development might be needed for this role?* #J-18808-Ljbffr