What are the responsibilities and job description for the Medical Biller II position at TriHealth?
Job Overview
JOB DESCRIPTION
The level II Medical Biller's general responsibilities include assisting the lead medical biller and fellow billing staff in submitting accurate clean claims, ensuring timely follow up. Collaboration with other teams will be needed to ensure denied claims are appealed as needed. Medical Biller II should be cross trained to work with different payers to help assist other billing staff. Reviews, investigates, and resolves credit balances. Medical Biller II will ensure the proper documentation in the facility's billing system. Responsible also for providing excellent customer service skills by answering patient and third party questions and/or addressing billing concerns in a timely and professional manner.
Job Requirements
Climbing - Rarely
Concentrating - Consistently
Continuous Learning - Frequently
Hearing: Conversation - Frequently
Hearing: Other Sounds - Rarely
Interpersonal Communication - Rarely
Kneeling - Rarely
Lifting <10 Lbs. - Rarely
Lifting 50 Lbs. - Rarely
Lifting <50 Lbs. - Rarely
Pulling - Rarely
Pushing - Rarely
Reaching - Rarely
Reading - Consistently
Sitting - Consistently
Standing - Frequently
Stooping - Rarely
Talking - Frequently
Thinking/Reasoning - Consistently
Use of Hands - Consistently
Color Vision - Frequently
Visual Acuity: Far - Consistently
Visual Acuity: Near - Consistently
Walking – Frequently
TriHealth SERVE Standards and ALWAYS Behaviors
At TriHealth, We Believe There Is No Responsibility More Important Than To SERVE Our Patients, Our Communities, And Our Fellow Team Members. To Achieve Our Vision And Mission, ALL TriHealth Team Members Are Expected To Demonstrate And Live The Following
Serve: ALWAYS...
JOB DESCRIPTION
The level II Medical Biller's general responsibilities include assisting the lead medical biller and fellow billing staff in submitting accurate clean claims, ensuring timely follow up. Collaboration with other teams will be needed to ensure denied claims are appealed as needed. Medical Biller II should be cross trained to work with different payers to help assist other billing staff. Reviews, investigates, and resolves credit balances. Medical Biller II will ensure the proper documentation in the facility's billing system. Responsible also for providing excellent customer service skills by answering patient and third party questions and/or addressing billing concerns in a timely and professional manner.
Job Requirements
- High School Diploma or GED or GED (Required)
- 3 - 4 years’ experience in related field (Required)
- Billing knowledge that includes ICD-9, ICD-10, and CPT terminology
- Epic and Clearing House experience
- Working knowledge of insurance policies and appeals Consistently meets individual productivity incentive standards
- Knowledge: Works with little supervisory oversight and exercises appropriate judgement in identifying payer trends. Identifies and appropriately communicates process improvement with team leaders and supervisors in a timely manner. Maintains a close working relationship with all departments and consolidates efforts to ensure appropriate and standardized coding/billing procedures are followed.
- Quality Review: Consistently produces quality work and actions to move a claim to proper payment or account resolution while maintaining assigned work queues.
- Personal Productivity: Completes assigned workload based on key performance indicators on a daily basis to ensure standard productivity is met.
- Patient Accounting Cash: Meet or exceed approved target; collect 100% of net revenue booked based on remittance.
- Aging: Decrease AR greater than 90 days for Insurance accounts as set by department each year. Lower is better.
Climbing - Rarely
Concentrating - Consistently
Continuous Learning - Frequently
Hearing: Conversation - Frequently
Hearing: Other Sounds - Rarely
Interpersonal Communication - Rarely
Kneeling - Rarely
Lifting <10 Lbs. - Rarely
Lifting 50 Lbs. - Rarely
Lifting <50 Lbs. - Rarely
Pulling - Rarely
Pushing - Rarely
Reaching - Rarely
Reading - Consistently
Sitting - Consistently
Standing - Frequently
Stooping - Rarely
Talking - Frequently
Thinking/Reasoning - Consistently
Use of Hands - Consistently
Color Vision - Frequently
Visual Acuity: Far - Consistently
Visual Acuity: Near - Consistently
Walking – Frequently
TriHealth SERVE Standards and ALWAYS Behaviors
At TriHealth, We Believe There Is No Responsibility More Important Than To SERVE Our Patients, Our Communities, And Our Fellow Team Members. To Achieve Our Vision And Mission, ALL TriHealth Team Members Are Expected To Demonstrate And Live The Following
Serve: ALWAYS...
- Welcome everyone by making eye contact, greeting with a smile, and saying "hello"
- Acknowledge when patients/guests are lost and escort them to their destination or find someone who can assist
- Refrain from using cell phones for personal reasons in public spaces or patient care areas
- Recognize and take personal responsibility to address and recover from service breakdowns when a customer's expectations have not been met
- Offer patients and guests priority when waiting (lines, elevators)
- Work on improving quality, safety, and service
- Respect cultural and spiritual differences and honor individual preferences.
- Respect everyone's opinion and contribution, regardless of title/role.
- Speak positively about my team members and other departments in front of patients and guests.
- Value the time of others by striving to be on time, prepared and actively participating.
- Pick up trash, ensuring the physical environment is clean and safe.
- Be a good steward of our resources, using supplies and equipment efficiently and effectively, and will look for ways to avoid waste.
- Acknowledge wins and frequently thank team members and others for contributions.
- Show courtesy and compassion with customers, team members and the community
