Insurance Biller

Lexington Regional Health Center

Title: Insurance Biller

Date: June 26, 2024

Supervisor: Director of Financial Services

Department: Business Office

FLSA Status: Non-Exempt

• Submits clean claims to ensure all edits are passed prior to sending claims to insurance companies.
• Answers inquiries regarding claims from patients and insurance companies.
• Satisfies accounts after insurance payments for patient responsibilities.
• Assists with admissions, discharges, and transfers as needed.
• Follows up on aged accounts until resolved with payors.
• Calls patients or insurance companies for claim processing.
• Appeals denials as appropriate with insurance companies.
• Maintains the Business Office procedure book with updates as department processes change.
• Registers patients and processes payments by check, cash, or credit cards both in person and over the phone as needed.
• Answers phone calls via the switchboard and routes them appropriately throughout the facility.
• Ensures patients and visitors follow current infection control guidelines.
• Responsible for ensuring the environment meets appropriate governing body standards.
• Performs duties that could include blood exposure and risk to blood borne pathogens (e.g., lacerations, handling blood-contaminated items).
• Maintains patient and staff safety through the use of patient safety tools (e.g., Teamstepps, Just Culture).
• Regular attendance at the assigned work location is required.
• Performs other duties as assigned.

• Ability to read, write, perform basic accounting, and use standard office equipment and computer software as typically acquired through a high school diploma or equivalent.
• Must be at least 19 years old to sign legal documents.
• Ability to stay updated on changes with federal and state rules and regulations.
• Ability to maintain strict confidentiality regarding protected and sensitive information.
• Ability to solve problems independently using analytical and logical thinking.
• Ability to read, analyze, and interpret reports, policies, procedures, and governmental regulations.
• Ability to complete reports and correspondence at a professional level.
• Respond promptly to inquiries and complaints from patients, employees, and regulatory agencies in collaboration with supervisor and administration.
• Effective communication skills with individuals from diverse backgrounds and educational levels.
• Ability to organize and present information clearly and respond to questions from employees and external groups.
• Successful completion of required training on standard precaution protocols and their application during duties.

• Works in a typical office environment with minimal exposure to noise, dust, or temperature extremes.
• Spends significant time at a desk, writing and working on a computer (approximately 95% of work time).
• Requires fine motor coordination for tasks up to 70% of the time.
• Handles boxes weighing up to 36 pounds, transported using a dolly over approximately 250 feet; also handles 50-pound boxes of printer paper.

• None

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Job description statements are intended to describe the general nature and level of work being performed by employees assigned to this job title. They are not intended to be a complete list of all responsibilities, duties, and skills required.