[Hiring] Billing Representative II @Dignity Health Medical Group

Role Description

As our Billing Rep II, you will help our patients and providers streamline the billing and insurance process so they can focus on patient care and financial well-being. Every day you will:

• Review and process patient accounts, insurance claims, and payment postings.
• Ensure accurate and timely billing.
• Follow up on denied claims.
• Maintain patient confidentiality.

To be successful in this role, you must have:

• Strong attention to detail.
• Knowledge of medical billing and coding.
• Experience with healthcare insurance.

Demonstrate a solid understanding of your role as an Accounts Receivable Representative II including:

• Read & interpret invoice details.
• Patient registration in IDX.
• Rejection posting in IDX.
• Knowledge of medical records systems.
• Ability to navigate Insurance payer web sites.
• Read & interpret EOB's from various insurance carriers.
• FSC knowledge.
• Rules of FSC Flipping.
• Rules of Charge Corrections.
• Understanding of claim edits.
• Resolve claim edits.
• Ability to manage multiple expectations, tasks, and deadlines effectively.
• Timely review of electronic communication to stay informed of changes that affect your position.
• Research and analyze account thoroughly to determine appropriate action(s) to be taken.
• Proactively organize and manage case load to ensure follow through on claims that did not reach resolution at time of initial processing.

Qualifications

• High School Diploma or GED.
• Three (3) years experience working in healthcare Rev Cycle or a Professional Medical Office.
• Knowledge of physician billing regulations.
• Understanding of professional claims and billing procedures.
• Knowledge of Federal and State regulations applicable to Government and Insurance Collections.
• Excellent written and verbal communication skills.
• Working knowledge of computers and demonstrated proficiency in using e-mail systems, Internet and MS office software applications with emphasis in Word and Excel.

Requirements

• Associates in Healthcare Administration or related field (Preferred).
• Five (5) years experience working in healthcare Rev Cycle or a Professional Medical Office (Preferred).
• One (1) year experience with IDX Practice management system and Cerner EHR (Preferred).
• Knowledge of Google Suite (Preferred).