Job Summary
The A/R Biller is responsible to process all Inpatient and Outpatient accounts to all payors promptly and accurately in order to promote financial stability within the Hospital. Experience in billing Medicare, Medicaid, Commercial Insurance, HMOs, and Worker's Comp/No Fault is required. Knowledge in ICD-9, ICD-10, HCPCS coding and medical terminology is a plus.
Core Job Responsibilities

• Promotes a professional working relationship with insurance companies. Knows each payor representative and uses them as a contact when necessary to resolve outstanding issue on claims.
• Determines whether payment from insurance billed is accurate, based on DRG, Contracted Rate, Per Diem, or Fee Schedule. Initiates an adjustment, if necessary, to bring account to the correct balance. Demonstrates thorough knowledge of rates for specific payor responsibility and advises management of any trends regarding inappropr...