[Hiring] Revenue Cycle Insurance Biller @CommonSpirit Health

Role Description

As our Revenue Cycle Insurance Biller, you will play a pivotal role in maintaining the financial health of our healthcare organization. You will be responsible for the end-to-end management of electronic and paper claims, ensuring that all submissions are accurate, compliant, and processed efficiently. By leveraging your expertise in medical coding and payer requirements, you will bridge the gap between clinical services and revenue realization, directly impacting our operational success and patient satisfaction.

• Manage the full revenue cycle workflow, starting with the scrubbing of claims to ensure they are clean and error-free before submission to insurance carriers.
• Proactively resolve billing edits, address claim rejections, and validate insurance eligibility to minimize denials.
• Manage secondary insurance billing, posting necessary adjustments, and collaborating with cross-functional teams to resolve complex billing discrepancies.
• Possess a strong command of ICD-10 and CPT coding standards, combined with a commitment to staying current on evolving insurance billing guidelines.
• Identify trends in claims processing and participate in process improvement initiatives to drive departmental efficiency.
• Ensure billing operations remain seamless, compliant, and highly effective.
• Process and export clean claims to payers within 24 hours of import.
• Resolve billing software edits within 7 days to accelerate reimbursement cycles.
• Manage claim rejections by correcting coding errors and verifying patient insurance eligibility.
• Maintain high-level proficiency in medical coding and current billing compliance regulations.
• Collaborate with clinic leadership to identify and resolve recurring billing patterns.
• Meet or exceed established Fiscal Year goals for QA accuracy and daily productivity.

Qualifications

• High School Graduate
• Two years Hospital billing/collection experience or other related healthcare provider claims experience in a high volume medical healthcare claim environment (Includes health plan, hospital claims, reimbursement, appeals experience).
• AHCCCS/ Medicare/government Commercial payer experience.
• UB-04 billing experience.
• Previous experience with computerized billing systems, Word Processing and Spreadsheet applications.

Requirements

• Four years Hospital billing/collection experience (preferred).
• College level business courses (preferred).
• Two years relevant college education and experience (preferred).
• Experience with Google Workplace applications, Billing clearing house and Cerner (preferred).