BILLER - CLAIMS & DENIALS - FULL-CYCLE BILLER

<div><p>The Full-Cycle Biller is responsible for providing TruBridge claims processing services to <b>Critical Access Hospital (UB-04)</b> and <b>Rural Health Clinic (CMS-1500)</b> facilities in New Hampshire.  This includes coordinating the day to day activities of a hospital&#39;s or clinic’s business office such as patient billing and collection, third-party payer relations, and/or preparation of insurance claims.</p><p></p><p><b>Essential Functions: </b>In addition to working as prescribed in our Performance Factors specific responsibilities of this role include:</p><ul><li><span>Coordinates business office functions and personnel that may include, but is not limited to patient billing, credit and collections, and data entry.</span></li><li><span>Recommends new processes and changes in current processes.</span></li><li><span>Implements controls to ensure appropriate submission, billing and credit and collections are kept in accordance with established procedures</span></li><li><span>Implements appropriate procedures for follow-up on third party approvals, billing, and collection of overdue accounts</span></li><li><span>Ensures that accurate and timely billing is being done by staff members in accordance with established procedures and third-party requirements</span></li><li><span>Responsible for consistently meeting production and quality assurance standards</span></li><li><span>Maintains quality customer service by following company policies and procedures as well as policies and procedures specific to each customer</span></li><li><span>Updates job knowledge by participating in company offered education opportunities</span></li><li><span>Protects customer information by keeping all information confidential</span></li><li><span>Processes miscellaneous paperwork</span></li><li><span>Ability to work with high profile customers with difficult processes</span></li><li><span>May regularly be asked to help with team projects</span></li><li><span>Responsible for assisting manager in the management of employees which would include coaching, training and performing necessary disciplinary actions including following up on action plans for their employees.</span></li><li><span>Maintains quality customer service by following company policies and procedures as well as policies and procedures specific to each customer</span></li><li><span>Ensures employee compliance with dress code, attendance and other company policies.</span></li><li><span>Processes miscellaneous paperwork and performs other administrative duties as assigned.</span></li></ul><p></p><p><b>Minimum Requirements:</b></p><p>Education/Experience/Certification Requirements</p><ul><li><span>At least 3-5 years </span><b>Full-Cycle</b><span> billing experience, can include Acute Hospital and/or Physician (Profee) claims</span></li><li><span>Experience with Claims and Denial Que&#39;s </span></li><li><span>Familiar with </span><u>Commercial</u><span> and </span><u>Medicaid</u><span> claims </span><i>REQUIRED</i></li><li><span>Strong organizational, multi-tasking, and time-management skills.</span></li><li><span>Must be detail oriented and able to follow through on issues to resolution.</span></li><li><span>Must be able to act both independently and as a team member.</span></li><li><span>High School Diploma or equivalent combination of education and relevant experience needed. </span></li><li><span>Excellent critical thinking, organizational, and time management sills with a strong attention to detail, accuracy, and follow through</span></li></ul><p></p><p><b>Why join our team? </b></p><ul><li><span>Work remotely with a work/life balance approach</span></li><li><span>Robust benefits offering, including 401(k)</span></li><li><span>Generous time off allotments</span></li><li><span>10 paid holidays annually</span></li><li><span>Employer-paid short term disability and life insurance</span></li><li><span>Paid Parental Leave</span></li></ul></div>