Accounts Receivable Biller

The Accounts Receivable Biller is responsible for timely billing, internal review processes, and insurance functions in the hospital.

Responsibilities include:

• Filing appeals timely on underpaid or denied accounts with a good understanding of medical necessity guidelines specific to procedures.
• Making payment arrangements with patients for timely resolution of balances, following self-pay policy.
• Posting write-offs, account adjustments, and corrections daily to patient accounts.
• Entering and reconciling all charges and credits to patient accounts.
• Filing electronic and/or paper insurance claims daily.
• Reviewing each Explanation of Benefits received with payments to verify reimbursement determinations and beginning the appeal process as necessary.
• Reviewing the status of assigned accounts for unpaid claims and following up appropriately with insurance companies or patients.
• Using Medicare FISS, Medicaid, and Rycan/Truebridge systems for billing and claims inquiry.
• Managing insurance aging effectively and timely to meet department goals.
• Assisting the Patient Service Manager with reports or other projects as requested.
• Handling phone calls regarding account balances or insurance filings.
• Documenting concisely, precisely, and accurately on records or documents as indicated by policy.
• Communicating effectively and working cooperatively and professionally with co-workers, management, patients, visitors, physicians, and others.
• Participating in quality assessment activities to support continuous improvement of patient care and hospital business.
• Performing other duties as assigned.
• Supporting the mission and core values of the hospital.
• Following hospital policies and maintaining patient and hospital confidentiality.