Insurance and Home Health Agency Biller

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Position Description

Our Mission is excellence in healthcare services and the promotion of wellness in our community. Our Guiding Values are Integrity, Dignity, Professionalism, Teamwork and Quality.

Job Description - Insurance and Home Health Agency Biller

Department - Business Office

Reports To - Business Office Manager

Position Summary

The Business Office and Insurance and Home Health Agency Biller will be responsible for accurately billing and processing medical claims, resolving billing discrepancies, and ensuring timely reimbursement from insurance companies.

Responsibilities

• Review and verify the accuracy of patient demographic and insurance information.
• Prepare and submit electronic and paper claims to insurance companies.
• Follow up on unpaid and denied claims and appeal if necessary.
• Communicate with insurance companies and healthcare providers to resolve billing issues.
• Maintain compliance with HIPAA and other regulatory requirements.
• Stay updated on changes in billing and coding regulations.
• Other duties as assigned.

Collaboration and Professional Conduct

• Work cooperatively with other PMC departments to help resolve billing issues.
• Maintain professionalism, respect, and confidentiality in all interactions.
• Uphold PMC mission, vision, values and standards for service excellence.
• Adapt to changing expectations and support departmental goals.
• Continuously seek improvement in process affecting quality of care and service.
• Perform other duties as assigned.

Qualifications and Education

• Proven experience as Home Health Biller is required.
• Knowledge of medical billing software and electronic billing systems - MatrixCare, Medicare, Cerner, SSI and DDE experience preferred.
• Excellent communication and interpersonal skills
• Ability to work independently and meet deadlines.
• Attention to detail and accuracy.
• Certification in medical billing and coding is preferred.
• Flexible, adaptable, and proactive in improving processes and supporting team goals.
• Adhere to all policies, procedures and the Code of Conduct of Petersburg Medical Center. Commitment to PMC values and to efficiency, safety, teamwork, compassion, integrity, trust and respect.

Working Environment

This position may be onsite at PMC or remote. If onsite, this position is performed in a well-lit office setting. This position is full time, 40 hours per week, 80 hours biweekly.

Requirements for Employment Include --

• Background Check. Employment is contingent on the successful completion of a background investigation conducted through the State of Alaska in accordance with applicable regulations.
• Drug Screening. All employees must successfully complete a pre-employment drug screening, which includes testing for marijuana.
• Immunization Compliance. Employees are required to meet all immunization requirements as mandated by the State of Alaska and Federal regulations governing healthcare facilities.

** This position will remain open until filled.