Biller
Duties and Responsibilities:
- Reviews all claims for completeness and accuracy and makes the necessary corrections.
- Stays current on all billing guidelines.
- Researches and responds by telephone and in writing to patient inquiries regarding billing issues and problems.
- Follows up on submitted claims; monitors unpaid claims; resubmits claims as necessary.
- Works assigned insurance and patient HOLD buckets in Athena
- Works PROREVIEW worklist (prompt pay)
- Creates Good Faith Estimates for patient appointments
- Keeps supervisor informed of problems or potential problems.
- Completes other duties as assigned by supervisor.
- Assists with other special projects as assigned by management, such as:
o Processing credit card payments from insurance companies
o Completing retroactive sliding fee claims
o Applying patient payments to accounts
o Tracking provider errors to ensure accurate charting
o Answering patient questions in Athena Billing Portal Inbox
o Completes Bad Debt review monthly
Qualifications:
Education/Experience:
- High school diploma required, associate's or bachelor's degree in a related field, or at least two (2) years of billing and coding experience preferred.
To learn more about Tandem Health and our benefits, please click the links below.
https://tandemhealthsc.e3applicants.com/about-us/benefits-trial