Medical Biller II

Medical Biller II

The level II Medical Biller's general responsibilities include assisting the lead medical biller and fellow billing staff in submitting accurate clean claims and ensuring timely follow-up. Collaboration with other teams will be needed to ensure denied claims are appealed as needed. The Medical Biller II should be cross-trained to work with different payers to help assist other billing staff. Reviews, investigates, and resolves credit balances. The Medical Biller II will ensure proper documentation in the facility's billing system. Responsible also for providing excellent customer service skills by answering patient and third-party questions and/or addressing billing concerns in a timely and professional manner.

Job Description

• Assist the lead medical biller and fellow billing staff in submitting accurate clean claims
• Ensure timely follow-up on claims
• Collaborate with other teams to appeal denied claims as needed
• Cross-train to work with different payers
• Review, investigate, and resolve credit balances
• Ensure proper documentation in the facility's billing system
• Provide excellent customer service by addressing patient and third-party billing concerns

Requirements

• High School Degree or GED
• Billing knowledge that includes ICD-9, ICD-10, and CPT terminology
• Epic and Clearing House experience
• Working knowledge of insurance policies and appeals
• Consistently meet individual productivity incentive standards
• 3-4 years of experience in a related field

Working Conditions

• Climbing - Rarely
• Concentrating - Consistently
• Continuous Learning - Frequently
• Hearing: Conversation - Frequently
• Hearing: Other Sounds - Rarely
• Interpersonal Communication - Rarely
• Kneeling - Rarely
• Lifting 50+ lbs - Rarely
• Lifting 11-50 lbs - Rarely
• Pulling - Rarely
• Pushing - Rarely
• Reaching - Rarely
• Reading - Consistently
• Sitting - Consistently
• Standing - Frequently
• Stooping - Rarely
• Talking - Frequently
• Thinking/Reasoning - Consistently
• Use of Hands - Consistently
• Color Vision - Frequently
• Visual Acuity: Far - Consistently
• Visual Acuity: Near - Consistently
• Walking - Frequently

TriHealth SERVE Standards and ALWAYS Behaviors

At TriHealth, we believe there is no responsibility more important than to serve our patients, our communities, and our fellow team members. To achieve our vision and mission, all TriHealth team members are expected to demonstrate and live the following:

Serve: ALWAYS

• Welcome everyone by making eye contact, greeting with a smile, and saying "hello"
• Acknowledge when patients/guests are lost and escort them to their destination or find someone who can assist
• Refrain from using cell phones for personal reasons in public spaces or patient care areas

Excel: ALWAYS

• Recognize and take personal responsibility to address and recover from service breakdowns when a customer's expectations have not been met
• Offer patients and guests priority when waiting (lines, elevators)
• Work on improving quality, safety, and service

Respect: ALWAYS

• Respect cultural and spiritual differences and honor individual preferences
• Respect everyone's opinion and contribution, regardless of title/role
• Speak positively about my team members and other departments in front of patients and guests

Value: ALWAYS

• Value the time of others by striving to be on time, prepared, and actively participating
• Pick up trash, ensuring the physical environment is clean and safe
• Be a good steward of our resources, using supplies and equipment efficiently and effectively, and look for ways to avoid waste

Engage: ALWAYS

• Acknowledge wins and frequently thank team members and others for contributions
• Show courtesy and compassion with customers, team members, and the community