Prime Healthcare

Insurance Biller Collector

Facility Garden City Hospital
Location
US-MI-Garden City
ID
2022-106090
Category
Admin
Position Type
Full Time
Shift
Days
Job Type
Non-Exempt

Overview

Join an award-winning team of dedicated professionals committed to our core values of quality, compassion, and community! Garden City Hospital, a member of Prime Healthcare, offers incredible opportunities to expand your horizons and be part of a community dedicated to making a difference.

 

Garden City Hospital is a 176-bed community hospital delivering high-quality comprehensive care at the Main Hospital location, in addition to a second ER at the Westland Community Health Center. In addition to being recognized among the "100 Top Hospitals" in the nation by Fortune/Merative, the hospital has been ranked nationally for clinical excellence with a 5-Star Overall Quality Award ™ from Healthgrades and recognized with Five Star Awards for pacemaker procedures, hip fracture treatment, gallbladder removal surgery and treatment of sepsis. Garden City Hospital has earned HFAP certification as a primary stroke center and Gold Plus standing from the American Heart Association, and is a Blue Shield of Michigan Blue Distinction Center for Hip & Knee Replacement and Maternity Care. Garden City Hospital is also recognized as a teaching hospital, offering medical education to students, residents and fellows from across the country. For more information, visit www.gch.org.

Responsibilities

� The Biller is responsible for submitting claims to the appropriate intermediaries and to insure 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 (ICD9, CPT, HCPCS, DRG) as they relate to reimbursement. Communicates clearly and efficiently by phone and in person with clients and staff members.� 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

Education and Work Experience

  1. Previous Billing Experience within a hospital Business Office Required.
  2. Previous experience with government programs and collections preferred.
  3. Knowledge of medical terminology.
  4. Effective written and verbal communication skills.
  5. Ability to multi-task, prioritize needs to meet required timelines.
  6. Analytical and problem-solving skills.
  7. Customer Services experience required.
  8. High School Graduate or GED Equivalent Required (effective 4/1/14 for all new hires).

 

We are an Equal Opportunity/ Affirmative Action 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. EEO is the Law: https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf

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