Billing & Posting Resolution Provider
The Billing & Posting Resolution Provider position is responsible for acting as a liaison for hospitals and clinics using TruBridge's complete business office services. They work closely with TruBridge management and hospital employees to bill insurance companies for all hospital, hospital-based physician and clinic bills. They pursue collection of all claims until payment is made by insurance companies; and perform other work associated with the billing process.
Essential Functions:
In addition to working as prescribed in our Performance Factors specific responsibilities of this role include:
Β Prepares and submits hospital, hospital-based physician and clinic claims to third-party insurance carriers either electronically or by hard copy billing.
Β Secures needed medical documentation required or requested by third party insurances.
Β Follows up with third-party insurance carriers on unpaid claims till claims are paid or only self-pay balance remains.
Β Processes rejections by either making accounts private or correcting any billing error and resubmitting claims to third-party insurance carriers.
Β Responsible for consistently meeting production and quality assurance standards.
Β Maintains quality customer service by following company policies and procedures as well as policies and procedures specific to each customer.
Β Updates job knowledge by participating in company offered education opportunities.
Β Protects customer information by keeping all information confidential.
Β Processes miscellaneous paperwork.
Β Ability to work with high profile customers with difficult processes.
Β May regularly be asked to help with team projects.
Β Ensure all claims are submitted daily with a goal of zero errors.
Β Timely follow up on insurance claim status.
Β Reading and interpreting an EOB (Explanation of Benefits).
Β Respond to inquiries by insurance companies.
Β Denial Management.
Β Meet with Billing Manager/Supervisor to discuss and resolve reimbursement issues or billing obstacles.
Β Review late charge reports and file corrected claims or write off charges as per client policy.
Β Review reports identifying readmissions or overlapping service dates and ignore, merge, or split-bill according to the payer's rules and the client's policy.
Β Review credit reports, resolve credits belonging to a payer when able, and submit a listing of credits to the facility as required by the payer.
Minimum Requirements:
Education/Experience/Certification Requirements
Β 3 years of recent Critical Access or Acute Care facility billing or 3 years of physician billing experience.
Β Medicare Billing Experience Required.
Β Computer skills.
Β Experience in CPT and ICD-10 coding.
Β Familiarity with medical terminology.
Β Ability to communicate with various insurance payers.
Β Experience in filing claim appeals with insurance companies to ensure maximum reimbursement.
Β Responsible use of confidential information.
Β Strong written and verbal skills.
Β Ability to multi-task.
Why Should You Join Our Team?
Β 3 weeks paid Training
Β Earn time off starting on Day 1
Β 10 Company Paid Holidays
Β Medical, Dental and Vision Insurance
Β Company Paid Life and AD&D Insurance
Β Company Paid Short-Term Disability Insurance
Β Voluntary Long-Term Disability, Accident insurance, ID Theft Insurance,
Β Paid Parental Leave
Β Flexible Spending or Healthcare Savings Accounts
Β 401K Retirement Plan with competitive employer match
Β Casual Dress Code
Β Advancement Opportunities to grow within the company
Apply Now
Essential Functions:
In addition to working as prescribed in our Performance Factors specific responsibilities of this role include:
Β Prepares and submits hospital, hospital-based physician and clinic claims to third-party insurance carriers either electronically or by hard copy billing.
Β Secures needed medical documentation required or requested by third party insurances.
Β Follows up with third-party insurance carriers on unpaid claims till claims are paid or only self-pay balance remains.
Β Processes rejections by either making accounts private or correcting any billing error and resubmitting claims to third-party insurance carriers.
Β Responsible for consistently meeting production and quality assurance standards.
Β Maintains quality customer service by following company policies and procedures as well as policies and procedures specific to each customer.
Β Updates job knowledge by participating in company offered education opportunities.
Β Protects customer information by keeping all information confidential.
Β Processes miscellaneous paperwork.
Β Ability to work with high profile customers with difficult processes.
Β May regularly be asked to help with team projects.
Β Ensure all claims are submitted daily with a goal of zero errors.
Β Timely follow up on insurance claim status.
Β Reading and interpreting an EOB (Explanation of Benefits).
Β Respond to inquiries by insurance companies.
Β Denial Management.
Β Meet with Billing Manager/Supervisor to discuss and resolve reimbursement issues or billing obstacles.
Β Review late charge reports and file corrected claims or write off charges as per client policy.
Β Review reports identifying readmissions or overlapping service dates and ignore, merge, or split-bill according to the payer's rules and the client's policy.
Β Review credit reports, resolve credits belonging to a payer when able, and submit a listing of credits to the facility as required by the payer.
Minimum Requirements:
Education/Experience/Certification Requirements
Β 3 years of recent Critical Access or Acute Care facility billing or 3 years of physician billing experience.
Β Medicare Billing Experience Required.
Β Computer skills.
Β Experience in CPT and ICD-10 coding.
Β Familiarity with medical terminology.
Β Ability to communicate with various insurance payers.
Β Experience in filing claim appeals with insurance companies to ensure maximum reimbursement.
Β Responsible use of confidential information.
Β Strong written and verbal skills.
Β Ability to multi-task.
Why Should You Join Our Team?
Β 3 weeks paid Training
Β Earn time off starting on Day 1
Β 10 Company Paid Holidays
Β Medical, Dental and Vision Insurance
Β Company Paid Life and AD&D Insurance
Β Company Paid Short-Term Disability Insurance
Β Voluntary Long-Term Disability, Accident insurance, ID Theft Insurance,
Β Paid Parental Leave
Β Flexible Spending or Healthcare Savings Accounts
Β 401K Retirement Plan with competitive employer match
Β Casual Dress Code
Β Advancement Opportunities to grow within the company
Apply Now