APR Consulting, Inc. has been engaged to identify a Patient Biller III

Location: San Diego, CA 92122
Position: Patient Biller III
Pay Rate: $ 38.86/hr
Duration: 13 weeks with the possibility for extension and conversion to perm role should the candidate meet productivity and attendance standards
Expected Shift: Day 5x8-Hour (07:00 - 15:00)
100% Remote

Job Responsibilities:
The Patient Biller III is responsible for the full range of insurance and self-pay accounts and department credit balances. Responds to billing inquiries from patients, insurance companies and departments. Identifies and resolves issues regarding account adjustments, re-billing insurance, and/or collecting from patients as appropriate. Extensive knowledge of medical insurance and State and Federal rules and regulations related to hospital billing Insurance Claims.
Extensive knowledge in Insurance claims appeals, and range of knowledge in ICD9, CPT, HCPCS, coding principles. Knowledge in self-pay collections and mandated charity laws. Knowledge of medical/surgical terminology. Knowledge of accounting and cash handling principles and various billing documents and claim forms. Responsible to work system generated claims, edits, attaches records, operative reports and all system reports. Job standards are expected to be performed at the EXPERT level.

Requirements:

• Three (3) years of recent acute care hospital billing and collection experience.
• State and Federal rules and regulations related to billing Insurance Claims.
• Demonstrated knowledge in self-pay collections.
• Thorough knowledge of UB04 and revenue codes as it pertains to billing.
• Extensive knowledge in Insurance claims appeals, and range of knowledge in ICD9, CPT, HCPCS coding principles.
• Knowledge of Hospital payer contracts and reimbursement methodologies including but not limited to per diem, fee schedule, case rate and DRG's.

Preferred Qualifications

• Epic Resolute experience.
• UB04 experience.
• Previous hospital billing experience.

Our client is one of the largest Healthcare Staffing Providers in the United States, to be assigned at one of their affiliated hospitals/healthcare facilities.

This particular client is requiring that all new hires show proof of vaccination. However, accommodations may be made for those with disabilities or religious reasons who cannot obtain a vaccine.

Since 1980 APR Consulting, Inc. has provided professional recruiting and contingent workforce solutions to a diverse mix of clients, industries, and skill sets nationwide.

We are an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic protected by law.

Don't miss out on this amazing opportunity! If you feel your experience is the match for this position, please apply today and join our team. We look forward to working with you!