What are the responsibilities and job description for the Biller position at Elevance Health?
Biller
- Job Family: Finance and Actuarial
- Type: Full time
- Date Posted:Mar 02, 2023
- Req #: JR56117
Location:
- FL, ALTAMONTE SPRINGS
- North Carolina, North Carolina
- Alabama, Alabama
- Texas, Texas
- South Carolina, South Carolina
- Tennessee, Tennessee
- Florida, Florida
- Georgia, Georgia
Description
BioPlus Specialty Pharmacy is now part of CarelonRx (formerly IngenioRx), and a proud member of the Elevance Health family of companies ._ _Together, CarelonRx and BioPlus offer consumers and providers an unparalleled level of service that's easy and focused on whole health. Through our distinct clinical expertise, digital capabilities, and broad access to specialty medications across a wide range of conditions, we deliver an elevated experience, affordability, and personalized support throughout the consumer's treatment journey.
As a Biller you will be responsible for reviewing account files to ensure accuracy and completeness, maximum reimbursement, and appeal denials.
Primary duties may include, but are not limited to:
- Reviews patient account files. Prepares and reviews billings to be submitted to primary/secondary insurance carriers and/or Medicare/MediCal.
- Collects and decreases assigned Accounts Receivable focusing on high value accounts.
- Manages and maintains third party accounts.
- Responds to patient, insurance carrier and internal and external telephone inquiries. Completes all denial and correspondence daily.
- Prepares and submits refund requests to insurance carriers.
- Re-bills claims when not paid properly.
Minimal Requirements:
- Requires a High School diploma.
- A minimum of 2 years of experience in billing and appeals process in Medicare/MediCal, including medical office experience; or any combination of education and experience, which would provide an equivalent background.
Preferred Requirements:
- ICD-9 and CPT-4 coding knowledge strongly preferred.
Please be advised that Elevance Health only accepts resumes from agencies that have a signed agreement with Elevance Health. Accordingly, Elevance Health is not obligated to pay referral fees to any agency that is not a party to an agreement with Elevance Health. Thus, any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Be part of an Extraordinary Team
Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. Previously known as Anthem, Inc., we have evolved into a company focused on whole health and updated our name to better reflect the direction the company is heading.
We are looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. You will thrive in a complex and collaborative environment where you take action and ownership to solve problems and lead change. Do you want to be part of a larger purpose and an evolving, high-performance culture that empowers you to make an impact?
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide - and Elevance Health approves - a valid religious or medical explanation as to why you are not able to get vaccinated that Elevance Health is able to reasonably accommodate. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health has been named as a Fortune Great Place To Work in 2021, is ranked as one of the 2021 World's Most Admired Companies among health insurers by Fortune magazine, and a Top 20 Fortune 500 Companies on Diversity and Inclusion. To learn more about our company and apply, please visit us at careers.ElevanceHealth.com. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ability@icareerhelp.com for assistance.
EEO is the Law
Equal Opportunity Employer / Disability / Veteran
Please use the links below to review statements of protection from discrimination under Federal law for job applicants and employees.
- EEO Policy Statement
- Know Your Rights
- Pay Transparency
- Privacy Notice for California Residents
Elevance Health, Inc. is anE-verify Employer (https://www.e-verify.gov/sites/default/files/everify/posters/EVerifyParticipationPoster.pdf)
Need Assistance?
Email us (elevancehealth@icareerhelp.com) or call 1-877-204-7664
- Job Family: Finance and Actuarial
- Type: Full time
- Date Posted:Mar 02, 2023
- Req #: JR56117
Location:
- FL, ALTAMONTE SPRINGS
- North Carolina, North Carolina
- Alabama, Alabama
- Texas, Texas
- South Carolina, South Carolina
- Tennessee, Tennessee
- Florida, Florida
- Georgia, Georgia
Description
BioPlus Specialty Pharmacy is now part of CarelonRx (formerly IngenioRx), and a proud member of the Elevance Health family of companies ._ _Together, CarelonRx and BioPlus offer consumers and providers an unparalleled level of service that's easy and focused on whole health. Through our distinct clinical expertise, digital capabilities, and broad access to specialty medications across a wide range of conditions, we deliver an elevated experience, affordability, and personalized support throughout the consumer's treatment journey.
As a Biller you will be responsible for reviewing account files to ensure accuracy and completeness, maximum reimbursement, and appeal denials.
Primary duties may include, but are not limited to:
- Reviews patient account files. Prepares and reviews billings to be submitted to primary/secondary insurance carriers and/or Medicare/MediCal.
- Collects and decreases assigned Accounts Receivable focusing on high value accounts.
- Manages and maintains third party accounts.
- Responds to patient, insurance carrier and internal and external telephone inquiries. Completes all denial and correspondence daily.
- Prepares and submits refund requests to insurance carriers.
- Re-bills claims when not paid properly.
Minimal Requirements:
- Requires a High School diploma.
- A minimum of 2 years of experience in billing and appeals process in Medicare/MediCal, including medical office experience; or any combination of education and experience, which would provide an equivalent background.
Preferred Requirements:
- ICD-9 and CPT-4 coding knowledge strongly preferred.
Please be advised that Elevance Health only accepts resumes from agencies that have a signed agreement with Elevance Health. Accordingly, Elevance Health is not obligated to pay referral fees to any agency that is not a party to an agreement with Elevance Health. Thus, any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Be part of an Extraordinary Team
Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. Previously known as Anthem, Inc., we have evolved into a company focused on whole health and updated our name to better reflect the direction the company is heading.
We are looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. You will thrive in a complex and collaborative environment where you take action and ownership to solve problems and lead change. Do you want to be part of a larger purpose and an evolving, high-performance culture that empowers you to make an impact?
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide - and Elevance Health approves - a valid religious or medical explanation as to why you are not able to get vaccinated that Elevance Health is able to reasonably accommodate. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health has been named as a Fortune Great Place To Work in 2021, is ranked as one of the 2021 World's Most Admired Companies among health insurers by Fortune magazine, and a Top 20 Fortune 500 Companies on Diversity and Inclusion. To learn more about our company and apply, please visit us at careers.ElevanceHealth.com. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ability@icareerhelp.com for assistance.
EEO is the Law
Equal Opportunity Employer / Disability / Veteran
Please use the links below to review statements of protection from discrimination under Federal law for job applicants and employees.
- EEO Policy Statement
- Know Your Rights
- Pay Transparency
- Privacy Notice for California Residents
Elevance Health, Inc. is anE-verify Employer (https://www.e-verify.gov/sites/default/files/everify/posters/EVerifyParticipationPoster.pdf)
Need Assistance?
Email us (elevancehealth@icareerhelp.com) or call 1-877-204-7664
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