Medical Biller I

Location: Colfax

## Medical Biller IApplylocations:
Colfax, WAtime type:
Full time posted on:
Posted Yesterday job requisition :
JR100490
*** Rewarding career. Competitive salary. Outstanding benefits.
*** Medical Biller I is responsible for supporting the billing and accounts receivable functions within Patient Financial Services. This position assists with basic billing tasks, claim processing, and follow-up activities under the guidance of senior staff. The Medical Biller I works with patients, insurance payers, and internal departments to ensure accurate account handling and a positive patient financial experience. This role is designed to build foundational knowledge of hospital billing processes within a Critical Access Hospital (CAH) environment.
** STANDARD EXPECTATIONS
*** Promotes a Positive Working Environment  + Conducts oneself in line with organization’s mission, values and standards of behavior.  + Accepts change and challenges with a positive attitude.  + Consistently adheres to organizational policy.
* Communicates Effectively  + Builds relationships and works collaboratively with other staff.  + Provides timely operational updates to supervisor.  + Responds to communications in a timely manner.
* Performs Duties Efficiently and Effectively  + Follows procedures.  + Acts in compliance with applicable federal, state, and local regulations.  + Performs other duties as assigned.
** AREA OF RESPONSIBILITY
**** DUTIES & RESPONSIBILITIES
** Patient Interaction and Customer Service
* Serve as a point of contact for patient billing inquiries, providing courteous and clear communication
* Educate patients on their financial responsibility, insurance coverage, and payment options
* Direct complex patient concerns to appropriate senior staff
* Support patients with payment options and assist them with financial assistance resources as needed
* Direct complex patient concerns to appropriate senior staff with professionalism and empathy

Billing & Claims Submission
* Assist with preparing and submitting claims (UB-04 and/or professional) under supervision
* Review accounts for completeness and accuracy prior to claim submission
* Identify and report claim edits, holds, or errors to senior billers for resolution
* Support timely processing of primary and secondary claims

Accounts Receivable & Payer Follow-Up
* Perform routine follow-up on outstanding claims as assigned
* Review claim status using payer portals or internal systems
* Assist in identifying unpaid or denied claims and perform follow workflows
* Document account activity accurately and consistently
* Contact payers for additional information via phone call or portal communication.
* Research and resolve denials related to coordination of benefits, eligibility, patient questionnaires, and other common denials
* Escalate complex reimbursement issues to Medical Biller Lead or Sr. Manager of Billing and Reimbursement Denials Management & Revenue Protection
* Research and resolve basic denial categories such as eligibility, authorization, and billing errors
* Identify and Route complex denials to appropriate team members based on issue type
* Research and resolve hospital billing denials using Epic and internal workflows
* Maintain clear and compliant account documentation within Epic.

Epic HB System Responsibilities
* Utilize Epic work queues and tools to complete assigned tasks.
* Maintain accurate account notes, claim statuses, and follow-up actions in Epic.
* Report system issues or workflow concerns to supervisor
* Follow established workflows for account handling

Compliance, Audit & Reimbursement Support
* Follow all applicable billing regulations and payer requirements
* Maintain patient confidentiality in accordance with HIPAA
* Adhere to hospital policies and compliance standards
* Participate in training and skill development activities

Team Support & Cross-Coverage
* Provide support to team members as needed
* Participate in department meetings and training sessions
* Demonstrate a willingness to learn billing processes and systems
* Cross-train in basic functions within Patient Financial Services as assigned
** QUALIFICATIONS
* * Required* High school diploma or GED
* Basic computer…