Biller ll

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  • 20-00010
  • Full Time/Contract
  • Recruiting
  • Los Angeles, CA
Job Description

Position
Biller ll

Description

The Biller II performs a variety of clerical duties related to preparing, processing and reviewing medical bills for covered expenses to private and government insurance agencies and other third-party payors. The Biller II is responsible for contacting payor sources for follow-up and disposition of accounts, as well as ensuring that billings are processed in an accurate and timely manner.

  • Reviews claims for completeness of information and required documents; checks billings information and charges for correctness; types bill as necessary to include pertinent information, adjustments, late charges, and other related data.
  • Bills insurance carriers for appropriate payments by following prescribed procedures.
  • Requests documentation from clinics, as appropriate.
  • Adjusts or corrections on claims that were denied due to missing information or change in patient status; retypes bills as necessary or resubmits claims to appropriate personnel for follow-up activities.
  • Maintains effective filing system of pending patient folders, billed accounts and other related materials.
  • Checks billing information claims. Ensures that claims are complete and accurate and have the appropriate attachments. Corrects claims as necessary
  • Notes any further action needed prior to claim being mailed (e.g., requesting reports from clinic, charge ticket from Data Processing, etc.), and refers to Lead Biller for follow-up.
  • Refers billing problems and issues with recommendations to the Lead Biller. Stays on top of what is needed and not needed to facilitate the billing process.
  • Gives claims to Support Clerks for signing, copying & mailing.
  • Receives referrals from Account Representatives and follows on appropriate action.
  • Perform follow-up calls and written correspondence to patients and payors as needed.

Requirements

  • Handle in a professional and confidential manner all correspondence, documentation, and files.
  • Courteous and professional communications with payors and patients.
  • Ability to question why something is being done, suggest solutions to the issue, and be pro-active in the billing process.
  • High school graduate or equivalent.
  • At least three (3) years of billing experience.
  • Knowledge of health care industry.

Equipment and Resources Used to Perform:

Computer & Printers IDX Billing System
Telephone & fax systems Typewriter
File Systems Copy Machine

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