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