Prime Healthcare Systems Mesquite , TX 75149
JOB SUMMARY: 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.
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)
Work Type: Full Time Employee
Legend: Shift 1=Day, 2=Evening, 3=Night, 4=Varied.
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 the Human Resources Department.
EEO is the law poster.