PB Claims Biller

🔥 17 hours ago

🇺🇸 United States – Remote

💵 $24 - $26 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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IKS Health

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

☁️ SaaS

🤖 Artificial Intelligence

Healthcare • SaaS • Artificial Intelligence

IKS Health is a healthcare technology and services company that combines AI-driven software and human expertise to streamline clinical, operational, and financial workflows across the care journey. The company provides platform-based solutions including revenue cycle management, patient access, denial prediction and optimization, medical coding, clinical documentation (ambient AI scribe, virtual scribing, transcription), care team enablement, and value-based care/risk optimization. IKS Health serves health systems, physician enterprises, ambulatory and specialty practices, and emphasizes human-in-the-loop agentic AI built on cloud technologies to reduce administrative burden, improve financial performance, and enhance care quality.

📋 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 or self-pay balance remains • Process claim rejections by correcting billing errors or making accounts private and resubmitting claims • Meet production and quality assurance standards • Maintain customer service according to company and customer policies • Maintain confidentiality of customer information • Process miscellaneous paperwork and support team projects • Submit all claims daily with a goal of zero errors • Follow up on insurance claim status and respond to insurer inquiries • Read and interpret EOBs and manage denials • Discuss reimbursement issues and billing obstacles with the Billing Manager/Supervisor • Review late charge reports and file corrected claims or write off charges according to client policy • Review readmission and overlapping-service-date reports and ignore, merge, or split-bill according to payer rules and client policy • Review credit reports, resolve payer credits when possible, 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 • Compliance with Equal Employment Opportunity laws, HIPAA, ERISA, and other applicable regulations

🏖️ Benefits

• Company-offered education opportunities • Equal employment opportunity protections