Patient Biller III - Remote

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. (100% 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 ICD9, 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 (3) 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 UB04 and revenue codes as it pertains to billing.
• Extensive knowledge in Insurance claims appeals, and range of knowledge in ICD9, 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.
• UB04 experience.
• Previous hospital billing experience

SGA is a technology and resource solutions provider driven to stand out. We are a women-owned business. Our mission : to solve big IT problems with a more personal, boutique approach.

Each year, we match consultants like you to more than 1,000 engagements. When we say let's work better together, we mean it.

You'll join a diverse team built on these core values : customer service, employee development, and quality and integrity in everything we do.

Be yourself, love what you do and find your passion at work. Please find us at .

SGA is an Equal Opportunity Employer and does not discriminate on the basis of Race, Color, Sex, Sexual Orientation, Gender Identity, Religion, National Origin, Disability, Veteran Status, Age, Marital Status, Pregnancy, Genetic Information, or Other Legally Protected Status.

We are committed to providing access, equal opportunity, and reasonable accommodation for individuals with disabilities in employment, and our services, programs, and activities.

Please visit our company EEO page to request an accommodation or assistance regarding our policy.