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Form of workOverview:
Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community! St. Mary's General Medical Group is affiliated with St. Mary's General Hospital, one of the nation’s “100 Top Hospitals” and “A” rated for patient safety. We offer incredible opportunities to expand your horizons and be part of a community dedicated to making a difference.
We are an Equal Opportunity Employer and do not discriminate against applicants due to veteran status, disability, race, gender, gender identity, sexual orientation, or other protected characteristics. If you need special accommodation for the application process, please contact Human Resources. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf
Responsibilities:
The Biller is responsible to bill all insurance companies, workers compensation carriers, as well as HMO/PPO carriers. Audits patient accounts to ensure procedures and charges are coded accurate and corrects billing errors. Able to identify stop loss claims, implants and missing codes. Maintains proficiency in Medical Terminology. The Biller is responsible for the follow-up performed on insurance balances as needed to ensure payment without delay is received from the insurance companies. Communicates clearly and efficiently by phone and in person with our clients and staff members. Maintains productivity standards and reports. Obtains updated demographic information and all necessary information needed to comply with insurance billing requirements. Operates computer to input follow up notes and retrieve collection and patient information. Is able to write effective appeals to insurance companies.
Qualifications:
EDUCATION, EXPERIENCE, TRAINING
1. Knowledge of multiple insurance billing requirements and 1-2 years of billing experience
2. Effective written and verbal communication skills
3. Ability to multi-task, prioritize needs to meet required timelines
4. Analytical and problem-solving skills
5. Customer Services experience required
6. High School Graduate or GED Equivalent Required (effective 4/1/14 for all new hires)
