Prime Healthcare

Insurance Biller Collector - Patient Accounting

Facility Saint Mary's Regional Medical Center
Location
US-NV-Reno
ID
2022-109006
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! Saint Mary’s Health Network, a member of Prime Healthcare, offers incredible opportunities to expand your horizons and be part of a community dedicated to making a difference.

As a long-standing community partner with a 113-year history, Saint Mary’s Health Network offers Northern Nevada inpatient, outpatient, ancillary, and wellness services. Nationally recognized and accredited by the Joint Commission, as well as named one of the Top 100 Hospitals by Fortune/Merative and America’s Best 250 hospitals by Healthgrades, Saint Mary’s Regional Medical Center is a 380-bed acute care hospital offering a robust line of inpatient, outpatient and ancillary services including a top-rated Center for Cancer, surgical and orthopedic services, and an award-winning Cardiology program and more. The health system, a member of Prime Healthcare, also operates a fully integrated Medical Group, multiple urgent care clinics, freestanding imaging lab, and a state-of-the-art Fitness Center. For more information, visit www.SaintMarysReno.com.

Responsibilities

The Biller is responsible for submitting claims to the appropriate intermediaries and to ensure 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, EXPERIENCE, TRAINING

 

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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