Lower Bucks Hospital - Bristol, PA

posted 4 months ago

Full-time - Entry Level
Bristol, PA
501-1,000 employees
Hospitals

About the position

Join an award-winning team of dedicated professionals committed to our core values of quality, compassion, and community! Lower Bucks Hospital, a member of Prime Healthcare, offers incredible opportunities to expand your horizons and be part of a community dedicated to making a difference. Lower Bucks Hospital is a community hospital, serving the Lower Bucks County region with medical, surgical, and emergency care. Located in historic Bristol, Pennsylvania, the Hospital is well-known for its knowledgeable medical staff, including cardiology, orthopedics, radiology, wound care, and general surgery. The hospital has more than 200 physicians on staff, as well as another 700 employees. As a Biller in Patient Accounting, you will play a crucial role in the financial operations of the hospital. The Insurance Biller is responsible for billing all insurance companies, workers compensation carriers, as well as HMO/PPO carriers. You will audit patient accounts to ensure procedures and charges are coded accurately and correct any billing errors. Your ability to identify stop loss claims, implants, and missing codes will be essential in maintaining the integrity of our billing processes. Proficiency in Medical Terminology is required to effectively communicate and process billing information. In this role, you will also be responsible for the follow-up performed on insurance balances as needed to ensure payment without delay is received from the insurance companies. Clear and efficient communication, both by phone and in person, with our clients and staff members is vital. You will maintain productivity standards and reports, obtain updated demographic information, and ensure compliance with insurance billing requirements. Additionally, you will operate a computer to input follow-up notes and retrieve collection and patient information, and you will be expected to write effective appeals to insurance companies when necessary.

Responsibilities

  • Bill all insurance companies, workers compensation carriers, and HMO/PPO carriers.
  • Audit patient accounts to ensure procedures and charges are coded accurately and correct billing errors.
  • Identify stop loss claims, implants, and missing codes.
  • Maintain proficiency in Medical Terminology.
  • Perform follow-up on insurance balances to ensure timely payment from insurance companies.
  • Communicate clearly and efficiently by phone and in person with clients and staff members.
  • Maintain productivity standards and reports.
  • Obtain updated demographic information and necessary information to comply with insurance billing requirements.
  • Operate computer to input follow-up notes and retrieve collection and patient information.
  • Write effective appeals to insurance companies.

Requirements

  • Knowledge of multiple insurance billing requirements.
  • 1-2 years of billing experience.
  • Effective written and verbal communication skills.
  • Ability to multi-task and prioritize needs to meet required timelines.
  • Analytical and problem-solving skills.
  • Customer service experience required.
  • High School Graduate or GED Equivalent required.
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