PB Claims Biller

🔥 17 hours ago

🇺🇸 United States – Remote

💵 $24 - $26 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 0%

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Logo of IKS Health

IKS Health

10,000+ employees

🏥 Healthcare

☁️ SaaS

🤖 Artificial Intelligence

💰 Seed on 2006-12

Healthcare • SaaS • Artificial Intelligence

IKS Health is a healthcare technology company that provides an AI-driven care enablement platform and services to health systems, physician enterprises, ambulatory practices and specialty clinics. Their offerings include revenue cycle management, clinical documentation (ambient AI scribe, virtual medical scribing, transcription), denial prediction, medical coding and audits, patient access solutions, care coordination and value-based care optimization, combining agentic AI with human expertise to improve clinical workflows, reduce clinician burden, and enhance financial performance.

📋 Description

• Act as a liaison for hospitals and clinics using TruBridge’s complete business office services • Prepare and submit hospital, hospital-based physician, and clinic claims to third-party insurance carriers electronically or by hard copy • Secure medical documentation required or requested by third-party insurers • Follow up on unpaid claims until payment is made or only self-pay balance remains • Process claim rejections by making accounts private, correcting billing errors, and resubmitting claims • Meet production and quality assurance standards • Maintain customer service according to company and customer-specific policies and procedures • Update job knowledge through company education opportunities • Protect confidential customer information • Process miscellaneous paperwork • Support team projects as requested • Submit all claims daily with a goal of zero errors • Follow up timely on insurance claim status • Read and interpret EOBs • Respond to insurance company inquiries • Manage denials • Discuss and resolve reimbursement issues or billing obstacles with the Billing Manager/Supervisor • Review late charge reports and file corrected claims or write off charges according to client policy • Review readmissions or overlapping service dates and ignore, merge, or split-bill according to payer rules and client policy • Review credit reports, resolve payer credits when able, and submit credit listings to the facility as required

🎯 Requirements

• 3 years of physician/ambulatory billing (Full Cycle) experience required • PB Epic experience required within the past 3 years • Computer skills • Experience in CPT and ICD-10 coding • Familiarity with medical terminology • Ability to communicate with various insurance payers • Experience filing claim appeals with insurance companies to ensure maximum reimbursement • Responsible use of confidential information • Strong written and verbal skills • Ability to multi-task • Must comply with Equal Employment Opportunity laws, HIPAA, ERISA, and other applicable regulations

🏖️ Benefits

• Company-offered education opportunities • Equal opportunity employment protections

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