What are the responsibilities and job description for the Medical Biller position at Pine Rest Christian Mental Health Services?
Medical Biller
The Medical Biller, according to general directives and established departmental and or Pine Rest Christian Mental Health Services policies and procedures, independently performs administrative duties related to billing, to include but not limited compiling data, generating claims for services rendered, and compiling fees and charges. The Medical Biller must demonstrate excellent customer service and have enthusiasm about the program and the Pine Rest organization.
What Will You Do?
The medical biller ensures the accuracy and completeness of patient financial, insurance and demographic patient information to ensure compliant claims to Third party payers. Submit claims to payers assuring claims meet the clean claim definition to assure timely and accurate payment. Maintain knowledge of payer regulations, contracts and billing requirements and act as a resource to clinical sites regarding these requirements. Contact insurance companies to obtain preauthorization (in some departments), resolve outstanding balances, incorrect payments, claim denials or information needed to adjudicate claims. Work with clinical areas to resolve rejections and determine collectability or need for adjustment. Process payment/claim resolution documents, making determinations on balances based on contractual arrangements and insurance coverage. Review insurance credits and take appropriate steps to resolve credit. Maintains quality and productivity standards set by management and documents all account activity in account notes. Create and maintain customer-friendly environment with internal and external customers. Responsible for the monitoring and careful use of resources impacting them in a moderate capacity. May support and promote a recovery focused environment and person-centered approach within the program. Responsible to uphold the healing ministry of Christ through relationships that honor integrity, stewardship, empowerment, the promotion of diversity, equity, inclusion, and professional excellence. The Medical Biller must maintain annual training and demonstrate competency in the required programmatic training.
Who Are We?
Diversity, inclusion, and equity are at the core of Pine Rest. We strive each day to foster a sense of belonging and empowerment in a diverse workplace.
Pine Rest believes in investing in our greatest resource: our employees. We encourage you to take advantage of all opportunities for professional development. Through our own development with that of Pine Rest we can continue to advance mental health care in our communities.
What Does This Role Require?
- High School diploma or equivalent required.
- Six months experience in related field required, experience in healthcare-related field preferred.
- Knowledge of Medical terminology and/or healthcare revenue cycle experience preferred.
- Work requires the ability to read, understand and follow directions, and do computations.
What Benefits Do We Offer?
- Quality, cost-effective health care
- 403(b) retirement plan
- Tuition reimbursement
- Employee assistance program
- Strong compensation commensurate with experience
How Do I Apply?
Please submit your resume and cover letter to: talentacquisition@pinerest.org
Or simply apply via our careers page: www.pinerest.org/join-our-team
Thank you for your interest in working for Pine Rest Christian Mental Health Services. We appreciate your time and look forward to reviewing your resume. If you are selected to participate in the interview process, you will receive an email or phone call within 2 weeks.
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