Biller in Johnstown, PA at Health Support Center

Date Posted: 6/29/2018

Job Snapshot

Job Description

Health Support Center

Job Summary
Bills institutional and professional claims to various insurance plans for BSC facilities. Works claim edits and payer rejections to submit claims for third party reimbursement. Coordinates with facility departments and BSC departments to resolve billing edits. Process rebills and corrected claims when necessary. 

Job Responsibilities
Bills insurance claims for assigned payer types in a timely and accurate manner using both paper and electronic methods based on payer requirements

Audit accounts for changes, duplications and overlaps; making any necessary adjustments and documenting the accounts as appropriate

Processes required documentation for claim submission such as COB info for secondary claims, remittances, claim forms, medical record documentation etc.

Resolve any claim processing issues on a timely basis through review of incomplete and hold claim inventory

Work with hospital service departments, Patient Access, HIM, Revenue Integrity, and Case Management to resolve billing edits using flags in Collections Management

Work assigned flags for rebills and corrected claims

Document all account activity in nThrive systems and Host systems

Checks payer website for payer updates to billing requirements

Check and verify patient eligibility when needed

Job Requirements

Minimum Education
High school diploma or equivalent required
Two years of college preferred 
Associate’s degree preferred

Minimum Required Work Experience

Two (2) years of insurance billing experience

Required Skills
Requires critical thinking skills, decisive judgment and the ability to workwith minimal supervision. Must be able to work in a stressful environment andtake appropriate actions.

Basic proficiency in Microsoft Office applications 

Equal opportunity and affirmative action employers and are looking for diversity in candidates for employment: Minority/Female/Disabled/Protected Veteran