Software Guidance & Assistance, Inc., (SGA), is searching for a Patient Biller III for a contract assignment with one of our premier Healthcare clients in San Diego, CA. (% remote)
Responsibilities :
- The Patient Biller III is responsible for the full range of insurance and self-pay accounts and department credit balances.
- Responds to billing inquiries from patients, insurance companies and departments.
- Identifies and resolves issues regarding account adjustments, re-billing insurance, and / or collecting from patients as appropriate.
- Extensive knowledge of medical insurance and State and Federal rules and regulations related to hospital billing Insurance Claims.
- Extensive knowledge in Insurance claims appeals, and range of knowledge in ICD, CPT, HCPCS, coding principles.
- Knowledge in self-pay collections and mandated charity laws.
- Knowledge of medical / surgical terminology.
- Knowledge of accounting and cash handling principles and various billing documents and claim forms.
- Responsible to work system generated claims, edits, attaches records, operative reports and all system reports.
Required Skills :
- Three () years of recent acute care hospital billing and collection experience.
- State and Federal rules and regulations related to billing Insurance Claims.
- Demonstrated knowledge in self-pay collections.
- Thorough knowledge of UB and revenue codes as it pertains to billing.
- Extensive knowledge in Insurance claims appeals, and range of knowledge in ICD, CPT, HCPCS coding principles.
- Knowledge of Hospital payer contracts and reimbursement methodologies including but not limited to per diem, fee schedule, case rate and DRG's.
Preferred Skills :
- Epic Resolute experience.
- UB experience.
- Previous hospital billing experience
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