Insurance Biller Collector

Job Summary and Responsibilities:

• Meticulously process and submit claims to ensure timely and accurate reimbursement for services rendered.
• Expertly review patient accounts, verify insurance information, apply correct coding.
• Prepare and transmit claims, diligently following up on rejections and denials to maximize revenue capture.

Job Standards:

• Responsible for resolution of accounts.
• Performs follow up on any outstanding accounts and obtains commitment for payment from insurance carrier.
• All denied accounts to be worked via Cerner and have accurate action taken assigned for completion.

System Support:

• Documents on system all actions taken on account so that it clearly communicates action taken.
• Demonstrates knowledge and use of Cerner, the Billing clearing house, and other related PFS software.

Administrative Support:

• Performs routine assignments independently, consistently prioritizes workload, and offers assistance to co-workers.
• Reports problems, questions or suggestions to immediate supervisor.
• Defuses potential problems or conflicts by handling situations, referring to Supervisor/Manager/Director, or following departmental policies.