Institutional & ProFee Claim Biller - Commercial & Medicaid

The
** Institutional & Pro Fee Claim Biller - Commercial & Medicaid
** position is responsible for day-to-day execution of Tru Bridge's complete business office services.

This position is responsible for providing Tru Bridge claims processing services to
** Critical Access Hospital (UB-04)
** and
** Rural Health Clinic (CMS-1500)
** facilities in New Hampshire. This includes coordinating the day to day activities of a hospital's or clinic's business office such as patient billing and collection, third-party payer relations, and/or preparation of insurance claims.
*
* Essential Functions:

** In addition to working as prescribed in our Performance Factors specific responsibilities of this role include:
* Coordinates business office functions and personnel that may include, but is not limited to patient billing, credit and collections, and data entry.
* Recommends new processes and changes in current processes.
* Implements controls to ensure appropriate submission, billing and credit and collections are kept in accordance with established procedures
* Implements appropriate procedures for follow-up on third party approvals, billing, and collection of overdue accounts
* Ensures that accurate and timely billing is being done by staff members in accordance with established procedures and third-party requirements
* Responsible for consistently meeting production and quality assurance standards
* Maintains quality customer service by following company policies and procedures as well as policies and procedures specific to each customer
* Updates job knowledge by participating in company offered education opportunities
* Protects customer information by keeping all information confidential
* Processes miscellaneous paperwork
* Ability to work with high profile customers with difficult processes
* May regularly be asked to help with team projects
* Responsible for assisting manager in the management of employees which would include coaching, training and performing necessary disciplinary actions including following up on action plans for their employees.
* Maintains quality customer service by following company policies and procedures as well as policies and procedures specific to each customer
* Ensures employee compliance with dress code, attendance and other company policies.
* Processes miscellaneous paperwork and performs other administrative duties as assigned.
*
* Minimum Requirements:

** Education/Experience/Certification Requirements
* At least 3-5 years
** Full-Cycle
** billing experience, can include Acute Hospital and/or Physician (Profee) claims
* Experience with Claims
** and
* * Denial Que's
* Familiar with Commercial and Medicaid claims
* REQUIRED
* * Strong organizational, multi-tasking, and time-management skills.
* Must be detail oriented and able to follow through on issues to resolution.
* Must be able to act both independently and as a team member.
* High School Diploma or equivalent combination of education and relevant experience needed.
* Excellent critical thinking, organizational, and time management skills with a strong attention to detail, accuracy, and follow through
* Work remotely with a work/life balance approach
* Robust benefits offering, including 401(k)
* Generous time off allotments
* 10 paid holidays annually
* Employer-paid short term disability and life insurance
* Paid Parental Leave