Medical Biller I

Job Description***Medical Biller I - TriHealth Norwood***Grow your billing career in a supportive, high-performing team. As a Medical Biller I, you'll play a key role in ensuring accurate claims, timely reimbursement, and exceptional service for patients and payers - all while building your expertise with industry-leading systems and ongoing learning opportunities.Apply today and grow your career with a team that truly values you.Location: TriHealth Norwood at 4685 Forest Avenue, Norwood, OH 45212Work Schedule:Fulltime (80 hours bi-weekly)Day ShiftNo Weekend, No Holiday No on Call CommitmentIncentives & Benefits:TriHealth offers a comprehensive benefits package including medical, dental, vision, paid time off, retirement plans, and tuition reimbursement. Please view our benefits page: Job Requirements:High School Diploma or GED or GED (Required)1 - 2 years' experience in related field (Required)Billing and Payer knowledge of Hospital and/or Physician BillingWorking knowledge of ICD-9, ICD-10, and CPT terminologyJob Overview:The entry level Medical Biller's general responsibilities include ensuring timely claim submission, follow up with no response from payers, payer rejections, correspondence, and contract variances and appealing denials based on HB or PB requirements. The biller must ensure proper account documentation in the facility's billing system. Responsible to also provide excellent customer service skills by answering patient and third-party questions and/or addressing billing concerns in a timely and professional manner. Reviews, investigates, and resolves credit balances.Job Responsibilities:Knowledge. Participates willingly in payer communication, team huddles and supports others in sharing information and keeping up to date. Knowledge of systems used to include EPIC, Availity, and all payor portals.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 daily to ensure standard productivity is met.Patient Accounting Cash. Meets or exceeds approved target; collects 100% of net revenue booked based on remittance.Aging. Decreases AR greater than 90 days for Insurance accounts as set by department each year. Lower is better.TriHealth SERVE Standards and ALWAYS BehaviorsAt 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 areasExcel: ALWAYS... • 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 serviceRespect: ALWAYS... • 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: ALWAYS... • 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.Engage: ALWAYS... • Acknowledge wins and frequently thank team members and others for contributions. • Show courtesy and compassion with customers, team members and the communityJob keywords:Medical Records Specialist / Medical Records Specialist / Medical Assistant /Emergency Medical Technician / Medical Administrative Assistant

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