[Hiring] Insurance Biller Collector @CommonSpirit Health

Role Description

As our Insurance Biller Collector, you will play a pivotal role in optimizing our revenue cycle management by ensuring the accurate and timely reimbursement of healthcare claims. You will serve as the primary liaison between our facility and insurance providers, leveraging your deep expertise in government and commercial payer guidelines to resolve complex billing discrepancies.

Every day you will:

• Manage a high-volume pipeline of accounts receivable, performing daily billing functions and proactively following up on outstanding claims to secure commitment for payment.
• Navigate the Cerner system to audit claims, submitting precise appeals for denials to maintain consistent cash flow.
• Document all interactions with clarity.
• Monitor trends in claims processing and troubleshoot insurance inquiries.
• Collaborate with your team to implement process improvements that streamline our billing workflow.

To be successful in this role, you will need a detail-oriented mindset, strong analytical skills, and a comprehensive understanding of current billing regulations, including UB-04 and HIPAA requirements. You must demonstrate proficiency in managing conflicting priorities, professional communication, and the ability to work independently within a fast-paced environment.

Qualifications

• Two (2) years of hospital billing/collection experience or relevant healthcare provider claims experience in a high-volume medical environment (including health plan, hospital claims/reimbursement, and appeals experience).
• Demonstrated experience with AHCCCS, Medicare, government, and commercial payer guidelines.
• Proficiency with UB-04 billing requirements and processes.
• High School Graduate or Diploma.
• Previous experience working with computerized billing systems, word processing software, and spreadsheet applications.

Requirements

• Four (4) years of hospital billing/collection experience or relevant healthcare provider claims experience in a high-volume medical/healthcare remote environment (preferred).
• Two years of relevant college education and experience (preferred).
• Completion of college-level business courses (preferred).
• Hands-on experience with Cerner and various billing clearinghouse platforms (preferred).
• Experience utilizing Google Workspace applications for administrative and collaborative tasks (preferred).