Insurance Biller - Government Programs FT Days

Core Competencies

• Reviews claim scrubber and resolves claim edits.
  
  
• Maintains payor-related items, such as EFTs and Payor IDs for 835s.
  
  
• Verifies insurance eligibility and authorization.
  
  
• Works monthly aging of PPO's, Medicare, HMO's, cash and Workers Compensation.
  
  
• Documents detailed notes including action items taken, when appropriate.
  
  
• Responds timely and accurately to all incoming correspondence and inquiries from payers, patients and other departments.
  
  
• Reviews reports to identify denials from Medicare, PPOs, Worker Compensation, Commercial and Contracted carriers; corrects and resubmits claims using accurate ICD-9,ICD-10 and CPT codes; suggests action plans to eliminate denials in the future.
  
  
• Elevates issues as appropriate to Supervisor.
  
  
  
• Assists with orientation and training of new employees/ volunteers, as assigned.
  
  

Experience

Compensation Range

$25.00 - $33.44 / Hour