What are the responsibilities and job description for the PREBILLER position at Alhambra Hospital Medical Center?
The Pre-Biller will play a critical role in the hospital’s revenue cycle by ensuring that patient accounts are accurately reviewed and prepared for timely billing. This role involves verifying documentation, confirming payer information, addressing potential claim denials, and collaborating with various departments to ensure seamless billing processes.
Key Requirements:
Education & Experience:
- High school diploma or equivalent (required); Associate’s degree in healthcare administration, business, or related field (preferred).
- Minimum of 1-2 years of experience in medical billing, pre-billing, or a related role in a healthcare setting.
- Knowledge of insurance guidelines, payer policies, and claim submission processes.
Technical Skills:
- Proficiency in medical coding (CPT, ICD-10, HCPCS) and understanding of revenue codes.
- Strong knowledge of Medicare, Medi-Cal, and commercial insurance plans.
- Ability to review and interpret Explanation of Benefits (EOBs).
Soft Skills:
- Excellent communication and collaboration skills to work with clinical staff, patient financial services, and payers.
- Strong attention to detail and organizational skills to manage multiple priorities.
- Problem-solving skills to identify and address potential billing issues proactively.
Certifications (Preferred):
- Certified Professional Biller (CPB) or Certified Professional Coder (CPC) through AAPC.
