What are the responsibilities and job description for the Commercial Biller position at St. Josephs Medical Center?
POSITION SUMMARY :
Under the direct supervision of the Billing Manager, the Biller is responsible for submitting claims to all payors on a daily basis for St. Joseph Medical Center campuses.
KEY RESPONSIBILITIES :
- Bill UB92 / UB04 Government and Non-Government claims for St. Joseph Medical Center campuses on a daily basis.
- Paper and electronic billing
- Monitor and bill claims according the 72 hour rule
- Held Claims - ensure all claims held in the billing editor are resolved and billed daily.
- Comply with billing procedures in order to manager Electronic Rejects, Rebills, and Late Charges on a daily basis
- Complete split billing , as appropriate
- Obtain documents to be submitted with claims on a timely basis (ie : implant invoices, medical record, etc)
- Coordinate with the Billing Manager to escalate coding issues, modifiers, etc. through Health Information Management.
- Understand the CWF (Common Working File) and correct claims when needed
- Certified mail processing for paper claims.
- Practice and adhere to the "Code of Conduct" philosophy and "Mission and Value Statement"
- Other duties as assigned
REQUIRED KNOWLEDGE & SKILLS :
POSITION QUALIFICATIONS : Equal Opportunity Employer Minorities / Women / Veterans / Disabled
Houston's oldest hospital is GROWING!
Welcome to St. Joseph Medical Center (SJMC), Houston's first and only downtown hospital delivering world-class care for the last 137 years and looking forward to the next century of exceptional care to Houstonians when they need us most.
Whether it's for a scheduled surgery, the birth of a baby, an unexpected emergency, or an outpatient visit, we have staff available around the clock to provide you access to immediate, quality health care. SJMC has been providing health care services to Greater Houston residents for over 130 years, which should give you great comfort in knowing that we have a great tradition of caring for our community. We strive to meet our patients' expectations and encourage our patients to provide us with feedback on how we can help them have the best experience possible while they're in our care.
Over the last years we have expanded our services to include the Advanced Wound Care Center, Comprehensive Cardiac and Vascular Services, the Women's Center, the St. Joseph Maternal Fetal Medicine Center, and a Weight Loss Surgery Program, just to name a few. As you work with our physicians, nurses, case managers, educators, and other staff, you will be guided through your health care journey, from diagnosis to treatment, with compassion every step of the way.
Diversity, equity, inclusion, and belonging are at the foundation of the care St Joseph Medical Center provides to our community we are privileged to support in all of our employment practices. We do not discriminate on the grounds of race, color, religion, sex, national origin, age, disability, veteran status, sexual orientation, gender identity, or expression or any other non-job-related characteristic.
