Biller II (CPC)
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)
- Keeps supervisor informed of problems or potential problems.
- Create claims for hospital visits for Obstetrics & Gynecology providers
- Works and keeps track of cases in Athena regarding issues directly related to claim submission, formatting and payment posting.
- Assist co-workers with problems, issues or complaints.
- Completes other duties as assigned by supervisor.
- Assists with other special projects as assigned by management, such as:
- Processing credit card payments from insurance companies
- Completing retroactive sliding fee claims
- Applying patient payments to accounts
- Compiling reports for Finance and Revenue Cycle Management
- Tracking provider errors to ensure accurate charting
- Answering patient questions in Athena Billing Portal Inbox
- 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.
- Certified Professional Coder (CPC) certification required.
- FQHC billing experience preferred.
To learn more about Tandem Health and our benefits, please click the links below.
https://tandemhealthsc.e3applicants.com/about-us/benefits-trial