What are the responsibilities and job description for the Insurance Biller Collector position at Prime Healthcare Services?
Overview
Paradise Valley Hospital is the South Bay’s oldest hospital, the second oldest hospital in all of San Diego County, and the largest employer in National City. For more than 100 years, Paradise Valley Hospital has served San Diego faithfully, proud of our heritage and providing numerous programs and services to meet the changing needs of our community. Our 291-bed, acute care hospital features the San Diego Spine & Joint Center, a highly credentialed acute rehabilitation center, our Paradise Health & Senior Center, a fully equipped and modern cardiac catheterization lab, and comprehensive inpatient and outpatient surgical services, and 24-hour emergency services.Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community!Why Prime Healthcare? Paradise Valley Hospital; a member of Prime Healthcare, offers incredible opportunities to expand your horizons and be part of a community dedicated to making a difference. Paradise Valley Hospital offers competitive compensation and a comprehensive benefits package that provides employees the flexibility to tailor benefits according to their individual needs. Our Total Rewards package includes, but is not limited to:- Paid Time Off
- 401K Retirement Plan
- Outstanding Medical, Dental, Vision coverage
- Tuition Reimbursement
- Many more voluntary benefit options!
Responsibilities
The Biller is responsible for submitting claims to the appropriate intermediaries and to insure that procedures and charges are coded in compliance with all payers including Medi-Cal and/or Medicare regulations. Responsible for obtaining required authorizations necessary for the processing and payment of claims. The Biller is responsible for the follow-up and denial management as necessary for final resolution. Responsible to identify the various types of diagnosis and procedures codes (ICD9, CPT, HCPCS, DRG) as they relate to reimbursement. Communicates clearly and efficiently by phone and in person with clients and staff members. Maintains productivity standards and reports. Obtains updated demographic information and all necessary information needed to comply with the various Government Programs billing requirements. Operates computer to input follow up notes and retrieve collection and patient information. Maintains proficiency in Medical Terminology
Qualifications
To speak to a recruiter within 24 hours text: (619) 658-4624
To speak to a recruiter within 24 hours text: (619) 658-4624
Education and Work Experience
1. Previous Billing Experience within a hospital Business Office Required.
2. Previous experience with government programs and collections preferred.
3. Knowledge of medical terminology
4. Effective written and verbal communication skills
5. Ability to multi-task, prioritize needs to meet required timelines
6. Analytical and problem-solving skills
7. Customer Services experience required
8. High School Graduate or GED Equivalent Required (effective 4/1/14 for all new hires)
Paradise Valley Hospital offers competitive compensation and a comprehensive benefits package that provides employees the flexibility to tailor benefits according to their individual needs. Our Total Rewards package includes, but is not limited to, paid time off, a 401K retirement plan, medical, dental, and vision coverage, tuition reimbursement, and many more voluntary benefit options. A reasonable compensation estimate for this role, which includes estimated wages, benefits, and other forms of compensation, is $21.00 to $25.00. The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide range of factors will be considered, including but not limited to, skillset, years of applicable experience, education, credentials and licensure.
Salary : $21 - $25
