Biller Sr

Company: Beaumont Hospital, Royal Oak (Mich.)
Location: Royal Oak
Posted on: November 14, 2022

Job Description:

GENERAL SUMMARY: Primary responsibilities for this position include obtaining insurance verification and authorization for E&M visits and treatments as required by third party insurance carriers, companies and plans. Senior Biller will play a significant role in the accurate submission of claims so that payment is received in a timely manner with skills necessary to improve current billing procedures and reduce A/R days. Therefore, a solid working knowledge of ICD10 CM, CPT and HCPCS codes is essential as is the submission and appeal process for healthcare related insurance claims. Knowledge, skills & abilities to analyze data, perform in-depth evaluation and exercising judgment within the appropriate working knowledge of oncology billing and revenue cycle process, is preferred.

ESSENTIAL DUTIES:

• Obtaining and verifying authorizations as required by insurance companies and plans
  by contacting the patient, when applicable, and coordinating with the financial clearance
  
  center, when appropriate.
  
  
• Daily entry & export of professional and/or facility charges in EHR databases Epic, Mosaiq and monitoring of associated work queues to facilitate charges from entry to payment.
  
  
• Works with central billing office in resolving and resubmitting denied claims. Analyzes accounts within assigned work queues logistical and /or clerical problem resolution related to the patients' medical record, authorization and billing issues.
  
  
• Keeps abreast of changes in authorization process, insurance policies, billing requirements,
  rejection or denial codes as they pertain to claim processing and coding.
  
  
• Assists patients with questions or concerns regarding their account.
• Works collaboratively with manager in analysis of billing data to improve current billing procedures and reduce A/R days.
• Mentors and/or assists with training of newly hired authorization and/or billing staff.
  
  STANDARD QUALIFICATIONS
  
  

• Associates degree required or Bachelor degree in business or related field preferred.
• 2+ years' experience working in healthcare billing and/or coding preferred with good working knowledge of ICD10-CM, CPT and HCPCs coding. Experience coding and/or billing in radiation oncology or comparable preferred.
• Coding Certification from a professional organization or accredited institution required.
  
  Other Qualifications : Comprehensive working knowledge of third party insurance process required. Attention to detail and ability to multi-task and meet tight deadlines. Excellent problem-solving skills.
  
  * Beaumont Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, gender, pregnancy, sexual orientation, gender identity or expression, veteran status, or any other legally protected category.

Keywords: Beaumont Hospital, Royal Oak (Mich.), Royal Oak , Biller Sr, Other , Royal Oak, Michigan