PB Epic Claims Biller

Job Summary

The PB Epic Claims Biller is responsible for serving as a liaison for hospitals and clinics using TruBridge’s complete business office services. This role works closely with TruBridge management and hospital employees to bill insurance companies for hospital, hospital-based physician, and clinic claims, pursue collection of claims until payment is received, and perform other billing-related work.

Essential Functions

• Prepare and submit hospital, hospital-based physician, and clinic claims to third-party insurance carriers electronically or by hard copy.
• Secure medical documentation required or requested by third-party insurers.
• Follow up on unpaid claims until payment is received or only a self-pay balance remains.
• Process rejections by correcting billing errors, making accounts private when needed, and resubmitting claims.
• Meet production and quality assurance standards.
• Maintain quality customer service and follow company and customer-specific policies and procedures.
• Participate in company education opportunities to maintain job knowledge.
• Protect customer information and maintain confidentiality.
• Process miscellaneous paperwork and assist with team projects as needed.
• Ensure claims are submitted daily with a goal of zero errors.
• Timely follow up on insurance claim status.
• Read and interpret Explanation of Benefits (EOBs).
• Respond to inquiries from insurance companies.
• Handle denial management.
• Meet with billing leadership to resolve reimbursement issues or billing obstacles.
• Review late charge reports and file corrected claims or write off charges according to client policy.
• Review reports for readmissions or overlapping service dates and apply payer rules and client policy as appropriate.
• Review credit reports, resolve payer credits when possible, and submit credit listings to the facility as required.