Billing & Posting Resolution Provider

The Billing & Posting Resolution Provider position is responsible for acting as a liaison for hospitals and clinics using TruBridge's complete business office services. They work closely with TruBridge management and hospital employees to bill insurance companies for all hospital, hospital-based physician and clinic bills. They pursue collection of all claims until payment is made by insurance companies; and perform other work associated with the billing process.

Essential Functions:

In addition to working as prescribed in our Performance Factors specific responsibilities of this role include:
? Prepares and submits hospital, hospital-based physician and clinic claims to third-party insurance carriers either electronically or by hard copy billing.
? Secures needed medical documentation required or requested by third party insurances.
? Follows up with third-party insurance carriers on unpaid claims till claims are paid or only self-pay balance remains.
? Processes rejections by either making accounts private or correcting any billing error and resubmitting claims to third-party insurance carriers.
? Responsible for consistently meeting production and quality assurance standards.
? Maintains quality customer service by following company policies and procedures as well as policies and procedures specific to each customer.
? Updates job knowledge by participating in company offered education opportunities.
? Protects customer information by keeping all information confidential.
? Processes miscellaneous paperwork.
? Ability to work with high profile customers with difficult processes.
? May regularly be asked to help with team projects.
? Ensure all claims are submitted daily with a goal of zero errors.
? Timely follow up on insurance claim status.
? Reading and interpreting an EOB (Explanation of Benefits).
? Respond to inquiries by insurance companies.
? Denial Management.
? Meet with Billing Manager/Supervisor to discuss and resolve reimbursement issues or billing obstacles.
? Review late charge reports and file corrected claims or write off charges as per client policy.
? Review reports identifying readmissions or overlapping service dates and ignore, merge, or split-bill according to the payer's rules and the client's policy.
? Review credit reports, resolve credits belonging to a payer when able, and submit a listing of credits to the facility as required by the payer.

Minimum Requirements:

Education/Experience/Certification Requirements
? 3 years of recent Critical Access or Acute Care facility billing or 3 years of physician billing experience.
? Medicare Billing Experience Required.
? Computer skills.
? Experience in CPT and ICD-10 coding.
? Familiarity with medical terminology.
? Ability to communicate with various insurance payers.
? Experience in filing claim appeals with insurance companies to ensure maximum reimbursement.
? Responsible use of confidential information.
? Strong written and verbal skills.
? Ability to multi-task.

Why Should You Join Our Team?
? 3 weeks paid Training
? Earn time off starting on Day 1
? 10 Company Paid Holidays
? Medical, Dental and Vision Insurance
? Company Paid Life and AD&D Insurance
? Company Paid Short-Term Disability Insurance
? Voluntary Long-Term Disability, Accident insurance, ID Theft Insurance,
? Paid Parental Leave
? Flexible Spending or Healthcare Savings Accounts
? 401K Retirement Plan with competitive employer match
? Casual Dress Code
? Advancement Opportunities to grow within the company

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