Biller - Per Diem, Remote at Alta Hospitals System Corporate/CBO in Orange, California

Job Description:

Biller - Per Diem, Remote

We are hospitals and affiliated medical groups, working closely together for the benefit of every person who comes to us for care. We build comprehensive networks of quality healthcare services that are designed to offer our patients highly coordinated, personalized care and help them live healthier lives. Through collaboration, we strive to provide all of our patients and medical group members with the quality, affordable healthcare they need and deserve.

The Biller is responsible for accurate and timely preparation and submission of claims to Government, Commercial, Secondary and Managed Care payers, as assigned. Monitors and/or corrects submitted claims to ensure accurate and prompt reimbursement of claims. Resolves issues and inquiries.

Job Responsibilities/Duties

• Reviews diagnosis, procedure codes, and charges for accuracy and obtains missing information from appropriate department when necessary. Updates insurance information and financial class in appropriate financial systems.
• Accurately identifies, prepares and keys electronic billing. Ensures accurate input of all UB04 information in the electronic system. Enters and transmits claims on a daily basis and in a timely manner. Ensures that error/reject reports are addressed in a timely manner. Updates account with correct activity code and/or comments in corresponding financial systems. Maintains zero billing WIP. Completes all required follow-up to prevent delays in payment. Maintains electronic tracking logs as assigned.
• Takes conscious ownership for work and takes a proactive, deliberate, and thoughtful approach regarding work activities. Demonstrates appropriate use of independent judgement and decision making. Demonstrates excellent customer service at all times. Maintains confidentiality in accordance with hospital/corporate policies and HIPAA privacy regulations.
• Recognizes potential issues/delays with payor so that corrective actions can be taken. Obtains information, as needed, from appropriate internal sources. Responds in a timely manner to avoid AR aging. Submits accurate and timely written online adjustments, as needed. Escalates payment delays/problem accounts to director in a timely manner.

Minimum Education: High School Diploma or Equivalent required.

Minimum Experience: One (1) year recent experience in hospital billing required. Computer literacy and proficiency. Ability to multitask and prioritize needs to meet timelines. Understanding of basic medical terminology. Must be able to read, write and communicate effectively in English. Must demonstrate customer service skills appropriate to the job. Two (2) years recent hospital billing experience preferred.

Req. Certification/Licensure: None.

Employee Value Proposition

Prospect Medical Holdings, Inc., is guided by a diverse and highly experienced leadership core. This group maintains the vision that has made Prospect a needed difference-maker in the lives of so many patients today, and many executives contribute to our continued efforts. As a member of our highly effective team of professionals, benefit eligible positions will receive:

• Company 401K
• Medical, dental, vision insurance
• Paid time-off
• Life insurance

To apply for this role, or search our other openings, please visit http://pmh.com/careers/ and click on a location to begin your journey to a new career with us!

We are an Equal Opportunity/ Affirmative Action Employer and do not discriminate against applicants due to veteran status, disability, race, gender, gender identity, sexual orientation or other protected characteristics. If you need special accommodation for the application process, please contact Human Resources.

EEOC is the Law: https://www.eeoc.gov/

Keywords: Billing, Patient Accounting, Finance,General Accounting, Technical Professional