INSURANCE BILLER

**POSITION SUMMARY:** Responsibilities include but are not limited to: Timely and accurate submission of billings and subsequent resolution of accounts as assigned. Ensures billing submissions are in compliance with Hospital billing policies and with the rules and regulations of other payer contracts and agreements. Reviews patient accounts in a timely manner and ensures their accuracy and completeness. Determines appropriate billing distributions and processes statements. Regularly monitors and follows-up on outstanding accounts in a timely manner. Receives and answers billing related inquiries. Maintains a current understanding of billing and collection policies and procedures. Maintain strict patient confidentiality at all times; adheres to the Hospital's HIPAA policies and procedures. Must be able to perform jobs in all patient care and operational areas subject to reasonable accommodations, also be able to employ all mandatory safety devices and procedures. Will be responsible for other duties as assigned. **This is a union position.** **ESSENTIAL JOB FUNCTIONS:** 1. Review patient account files received for discharged patients in a timely manner and ensure the accuracy and completeness of all accounts. 2. Identify and resolve billing discrepancies in a timely and professional manner. 3. Identify portion of charges to be billed to patients’ insurance companies or other third parties, and those to be charged to patients directly. 4. Responsible for timely and accurate submission of billings to insurance companies. 5. Monitor the status of outstanding accounts in a thorough manner and identifies those past due in a timely manner. 6. Immediately alert the department's Director or Supervisor when a problem has been identified so that all reasonable and necessary steps to correct the problem and prevent its recurrence are taken. 7. Receive and answer inquiries from patients, insurance companies and other parties regarding charges and/or billing discrepancies. 8. Provide accurate information assistance to the Cashier, Collector and other appropriate hospital personnel regarding patient account charges, billing issues and related matters in a timely and courteous manner. 9. Respond to request from insurance companies for billing related information in a timely and courteous manner. 10. Demonstrate good verbal and written communication skills, documents and reports clearly and concisely. 11. Handle telephone information requests with courtesy, accuracy, and respect for confidentiality. 12. Obtain and analyze all pertinent information available in order to make the most informed decision based on factual and objective data; never makes a hasty decision. 13. Follow up on inquiries regarding account charges and related discrepancies in a timely manner. 14. Provide appropriate information on findings to patients, guarantors, insurance companies and/or appropriate hospital personnel. 15. Demonstrate a thorough knowledge and understanding of billing policies and procedures in performing job duties and instructing patients and hospital personnel. 16. Regularly attend department meetings and in-service training programs to remain aware of pertinent developments and/or changes in billing/collection, discharge and related policies, procedures and systems. 17. Regularly review memos, newsletters, bulletins and other publications to remain aware of pertinent developments and/or changes in billing/collection, discharge and related policies, procedures and systems. 18. Perform job duties in an independent manner with minimal direct supervision required. 19. Maintain strict patient confidentiality at all times; adheres to the Hospital's HIPAA policies and procedures. 20. Review and complete billing activity reports. 21. Demonstrate a thorough knowledge and understanding of Patient Accounting policies and procedures in performing job duties. 22. Demonstrate good verbal and written communication skills, documents and reports clearly and concisel…