Institutional & ProFee Claim Biller – Commercial & Medicaid

Job not on LinkedIn

🔥 20 hours ago

🇺🇸 United States – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 10%

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Logo of TruBridge

TruBridge

1001 - 5000 employees

💼 Consulting

📦 Logistics

🏥 Healthcare

Consulting • Logistics • Healthcare

TruBridge is a healthcare solutions company specializing in revenue cycle management, electronic health records, patient access and engagement, and enterprise resource planning for healthcare providers. The company offers comprehensive, customizable services to hospitals, clinics, and ambulatory care facilities, aiming to improve financial health and operational efficiency. TruBridge's solutions include coding technology services, population health and data management, and outsourced revenue cycle management services. Their focus on data-driven insights and innovative products helps eliminate financial and operational obstacles, laying a foundation for long-term success in the healthcare industry.

📋 Description

• Execute TruBridge’s complete business office services • Provide claims processing services to Critical Access Hospital (UB-04) and Rural Health Clinic (CMS-1500) facilities in New Hampshire • Coordinate hospital and clinic business office activities, including patient billing, collections, third-party payer relations, and insurance claim preparation • Coordinate business office functions and personnel, including patient billing, credit and collections, and data entry • Recommend new processes and changes to current processes • Implement controls for appropriate claim submission, billing, credit, and collections • Implement procedures for follow-up on third-party approvals, billing, and overdue account collections • Ensure accurate and timely billing in accordance with established procedures and third-party requirements • Meet production and quality assurance standards • Maintain quality customer service according to company and customer policies and procedures • Participate in company-provided education opportunities • Protect confidential customer information • Process miscellaneous paperwork and perform administrative duties • Assist with team projects • Assist the manager with employee management, including coaching, training, disciplinary actions, and action-plan follow-up • Ensure employee compliance with dress code, attendance, and other company policies

🎯 Requirements

• At least 3-5 years Full-Cycle billing experience, to include BOTH Acute Hospital and Physician (Profee) claims • Experience with Claims and Denial Que's • Familiar with Commercial and Medicaid claims REQUIRED • Strong organizational, multi-tasking, and time-management skills • Must be detail oriented and able to follow through on issues to resolution • Must be able to act both independently and as a team member • High School Diploma or equivalent combination of education and relevant experience needed • Excellent critical thinking, organizational, and time management skills with a strong attention to detail, accuracy, and follow through

🏖️ Benefits

• Work remotely with a work/life balance approach • Robust benefits offering, including 401(k) • Generous time off allotments • 10 paid holidays annually • Employer-paid short term disability and life insurance • Paid Parental Leave

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