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Medical Insurance Biller

Company: Western Healthcare Alliance
Location: Grand Junction
Posted on: June 6, 2021

Job Description:

Job Title: Medical Insurance Biller
Status: Non-Exempt/Hourly
Supervisory Role: None
Reports To: Hospital Billing Manager

Position Pay Range: $15.24 - $21.34


About Western Healthcare Alliance


Western Healthcare Alliance (WHA) began in 1989 when a small group of rural Colorado hospitals decided that there was power in numbers. Today, WHA has 31 healthcare members in Colorado and Utah. Of these 31 members, 21 own Healthcare Management, a separate entity, that provides revenue cycle solutions to healthcare entities. Developing and managing a menu of member-owned and partner programs, WHA saves members money that helps them remain sustainable and viable in their communities.


Summary:


Responsible for gathering information, data entry and completing the billing & follow up process to all third party payers for appropriate Central Business Office clients or relaying all the information as a Liaison between sub-contracting vendors and the clients, whichever may apply.


Essential Responsibilities:


  • Generates, submits and corrects all needed information to complete the UB04 and HCFA 1500 billing forms for processing all insurance claims.
  • Performs manual data entry functions of all charge and transaction data, when necessary.
  • Performs all follow-up functions required to resolve outstanding insurance balances for all payers.
  • Assists modifiers and charge error resolutions, maintains current knowledge of billing practices in compliance with all State and Federal regulations based on client approval.
  • Develops and communicates training/education to client staff, as needed, to ensure a timely and accurate billing process.
  • Responds to inquires as needed to resolve account balances, participates in all mandatory education/training requirements of Central Business Office.
  • Complies with all HIPAA and Western Healthcare Alliance/Healthcare Management procedures to ensure privacy and security for personal health information (PHI), treats clients, patients and their families with respect and dignity.
  • Demonstrates competency as appropriate to training, all other duties as assigned by supervisor or Manager, Central Business Office.

Competencies:


To perform the job successfully, an individual should demonstrate the following competencies:


  • Project Management
  • Customer Service
  • Oral Communication
  • Team Work
  • Written Communication
  • Initiative
  • Judgment
  • Motivation
  • Professionalism
  • Quality

Qualifications


To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.


Education/Experience


High school diploma or equivalent. Knowledge of both hospital and physician billing practices required. Two years of prior billing experience in healthcare organization strongly preferred. Coding and regulatory knowledge preferred.


Supervisory Responsibilities


This job has no supervisory responsibilities.


Work Environment


The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.


  • The noise level in the work environment is usually moderate.

Typical Physical Demands


  • Requires corrected vision and hearing to functional range.
  • Requires ability to sit or stand for periods of time.
  • Requires manual finger dexterity and verbal communication skills.
  • Able to operate an automobile and possess or be eligible for a valid Colorado Drivers License.



Must be able to function in an office setting with background noise and distractions.

Keywords: Western Healthcare Alliance, Grand Junction , Medical Insurance Biller, Other , Grand Junction, Colorado

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