Marshall Medical

Nonprofit community hospital and clinic network

Insurance Biller

Clinical Support & Patient AdministrationConfirmed live in the last 24 hours

Full-timePlacerville, CA, USA$22.69 - $27.23In-person

About the Job

Requirements

A high school diploma or equivalent is required.
Completion of online duty-specific training is required within 90 days of the job start date.
Working knowledge of Microsoft and Office products and basic office equipment is required.
Basic knowledge of Knox-Keene, ERISA, and California state laws affecting the billing process is required.
Basic knowledge of HIPAA and California state confidentiality laws affecting the release of medical information is required.
Strong customer service skills, including oral, written, and listening skills, are required when dealing with patients, physicians’ office staff, coworkers, and payers.
Organizational skills and flexibility are required.
Ability to make reasonable independent decisions within hospital and department guidelines in the absence of immediate direct supervision is required.
Ability to assist coworkers during peak workloads and short staffing is required.
Ability to multitask and reprioritize workload to meet deadlines is required.
Typing speed of 30 words per minute, ten-key skills, basic filing skills, alphabetic and numeric filing skills, and basic math skills are required.
Ability to interpret insurance contracts and rate sheets is required.

Responsibilities

Ensure accurate and timely completion of billing duties for assigned hospital and home health claims, routing them to the appropriate carrier.
Pursue collection of assigned claims until insurance carriers make payment, reviewing and resolving payment variances according to policy.
Act as a patient advocate with departmental and hospital staff, insurance carriers, and patients to resolve billing issues and promote customer satisfaction.
Assist with projects as needed.

Desired Qualifications

Two years of facility billing experience is desired.
Understanding of governmental agencies, commercial insurance, and state and county compliance guidelines related to billing is preferred.

Department:

Hospital Patient Billing

Shift:

Primarily Days (United States of America)

Employee Type:

Regular

Per Diem Type (if applicable):

Minimum Pay Range:

$22.69 - $27.23

Job Description:

POSITION SUMMARY:

The Insurance Biller ensures the accurate and timely completion of duties related to the billing of all hospital and home health claims assigned to the appropriate carrier: pursues collection of all claims in a timely manner until payment is made by insurance carriers ensuring payment variances are reviewed and resolved according to policy. Acts as a patient advocate with departmental and hospital staff, insurance carriers and patients in order to resolve billing issues and promote customer satisfaction. Assists with projects as needed.

POSITION QUALIFICATIONS:

Education/Licensure/Certification:

High school graduate or equivalent required.

· Completion of on-line duty specific training required within 90 days of job start date.

Knowledge:

Two years of facility billing desired.
Working knowledge of Microsoft and Office products, and basic office equipment required.
Understanding of governmental agencies, commercial insurances, state & county compliance guidelines with regards to billing preferred.
Must have basic knowledge of Knox-Keene, ERISA and California State laws that impact the billing process.
Must have basic knowledge of HIPAA and California State Confidentiality laws that impact the release of medical information.

Skills:

Superior customer service skills including oral, written, and listening skills in dealing with patients, physicians’ office staff, co-workers, and payers.
Has good organizational skills and flexibility.
Ability to make reasonable independent decisions in the absence of immediate direct supervision that stay within hospital and department guidelines.
Works as a team player assisting co-workers during periods of peak workloads and short staffing.
Must possess the ability to multi-task and reprioritize workload in order to meet deadlines.
30 CWPM Data entry, ten-key skills required, basic filling skills, alphabetic, numeric and basic math skills required.
Ability to interpret contract and rate sheets for insurance.

About the Company

Marshall Medical

Nonprofit community hospital and clinic network

Marshall Medical is a nonprofit community health system serving El Dorado County. It runs Marshall Hospital, several outpatient facilities, and the Marshall Physician Clinic Services network, offering primary and specialty care from internal and family medicine to OB/GYN, cardiology, and rheumatology. Care works through a coordinated system of hospital and clinic locations where primary and specialty physicians collaborate to treat patients. It differs from many providers by being independently operated with a local volunteer board and a broad, community-focused network rather than a single facility, aiming to deliver integrated care.

Company size: 1,001-5,000
Company stage: Not listed
Total funding: Not listed
Headquarters: Placerville, CA
Founded: 1959

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