DeKalb Health

Insurance Collector/Biller

Full-Time

This position is primarily responsible for the billing and collections, accounts receivable, as well as professional billing in Epic and Client Billing for Nursing Homes, employers, etc. This position requires interaction with commercial and governmental payers as well as patients or patient representatives and other hospital departments. There will be a great deal of communication and reliability with various staff members in other departments. It is understood that the team member will exercise extreme prudence and patience when dealing with any customer. The team member will not under any circumstance portray or reflect any attitude other than a quiet, friendly, compassionate, professional demeanor while representing DeKalb Health.

 

Duties and Responsibilities

 

  1. Electronic billing submission, on portals or manual processing of accounts receivables.
  2. Timely collection and follow up of accounts receivable including tracking for timely submission for Client claims, filing appeals, etc…
  3. Perform procedures for late charges, adjustments, analyzing data, rebills, and appeals, as well as working rejections in the clearinghouse for PB billing.
  4. Maintain a current knowledge of payer specifics, regulations, and edits, etc…
  5. Maintain a clean and organized work area.
  6. Demonstrate progress towards a paperless environment
  7. Produce reports and or respond to reports as requested, which includes balancing at each month-end, and reviewing the Medicare credit balance report every quarter.
  8. Perform other miscellaneous duties as requested by the department director or designee.
  9. Maintain current knowledge of Medicare, Medicaid regulations.
  10. Review credit balances and initiate refund requests.
  11. Billing and Follow up for PB and HB Client accounts.
  12. Payer matching in the Clearinghouse for both HB and PB.
  13. Weekly review the Newborn pending Medicaid WQ for eligibility verification.   

 

Qualifications

  1. One or more years of electronic medical insurance billing experience.
  2. One or more years of medical accounts receivable collection.
  3. An understanding of insurance payment explanation of benefits.
  4. An understanding of medical terminology, good verbal and written communication skills.
  5. Proficient in the use of PC.
  6. Is self-directed and motivated, quality driven results oriented, and has the ability to work as a positive team member.

DeKalb Health is a dynamic organization comprised of over 600 talented and dedicated team members.  Our entire culture is rooted in the patient experience and team member well-being.  As an organization, we have an innate understanding that our ability to provide excellent patient care begins with happy and engaged team members, and we proudly strive to create a work environment that is challenging and rewarding.  With each open position at DeKalb Health, we are presented with an opportunity to add a new member to our growing family, however it is imperative to our success to ensure our new team members possess a positive attitude, an adaptability to change, and the skills/experience necessary to provide our patients and guests with an unmatched experience while they are in our care.  If you are interested in joining a team that appreciates you and recognizes your strengths, please consider applying today.  We look forward to meeting you!

General Information
Location  1316 EAST 7TH ST
AUBURN, IN 46706
United States
Employee Type  Full Time
Job Category  Clerical/Office
Description

Full-Time

This position is primarily responsible for the billing and collections, accounts receivable, as well as professional billing in Epic and Client Billing for Nursing Homes, employers, etc. This position requires interaction with commercial and governmental payers as well as patients or patient representatives and other hospital departments. There will be a great deal of communication and reliability with various staff members in other departments. It is understood that the team member will exercise extreme prudence and patience when dealing with any customer. The team member will not under any circumstance portray or reflect any attitude other than a quiet, friendly, compassionate, professional demeanor while representing DeKalb Health.

 

Duties and Responsibilities

 

  1. Electronic billing submission, on portals or manual processing of accounts receivables.
  2. Timely collection and follow up of accounts receivable including tracking for timely submission for Client claims, filing appeals, etc…
  3. Perform procedures for late charges, adjustments, analyzing data, rebills, and appeals, as well as working rejections in the clearinghouse for PB billing.
  4. Maintain a current knowledge of payer specifics, regulations, and edits, etc…
  5. Maintain a clean and organized work area.
  6. Demonstrate progress towards a paperless environment
  7. Produce reports and or respond to reports as requested, which includes balancing at each month-end, and reviewing the Medicare credit balance report every quarter.
  8. Perform other miscellaneous duties as requested by the department director or designee.
  9. Maintain current knowledge of Medicare, Medicaid regulations.
  10. Review credit balances and initiate refund requests.
  11. Billing and Follow up for PB and HB Client accounts.
  12. Payer matching in the Clearinghouse for both HB and PB.
  13. Weekly review the Newborn pending Medicaid WQ for eligibility verification.   

 

Qualifications

  1. One or more years of electronic medical insurance billing experience.
  2. One or more years of medical accounts receivable collection.
  3. An understanding of insurance payment explanation of benefits.
  4. An understanding of medical terminology, good verbal and written communication skills.
  5. Proficient in the use of PC.
  6. Is self-directed and motivated, quality driven results oriented, and has the ability to work as a positive team member.

DeKalb Health is a dynamic organization comprised of over 600 talented and dedicated team members.  Our entire culture is rooted in the patient experience and team member well-being.  As an organization, we have an innate understanding that our ability to provide excellent patient care begins with happy and engaged team members, and we proudly strive to create a work environment that is challenging and rewarding.  With each open position at DeKalb Health, we are presented with an opportunity to add a new member to our growing family, however it is imperative to our success to ensure our new team members possess a positive attitude, an adaptability to change, and the skills/experience necessary to provide our patients and guests with an unmatched experience while they are in our care.  If you are interested in joining a team that appreciates you and recognizes your strengths, please consider applying today.  We look forward to meeting you!

Requirements