POSITION TITLE: Medical Biller

DEPARTMENT: Patient Financial Services

REPORTS TO: Patient Financial Services Director

The Colorado Equal Pay for Equal Work Act requires employers in the state of Colorado to disclose the following information. Hourly (salary) minimum $16.51, hourly (salary) maximum $20.43. The base hourly (salary) range above represents the low and high end of the range for this position. Actual hourly (salary) rates may be above or below the range based on various factors including but not limited to: experience, education, and training.

Pay is just one component to prospective employees’ compensation package. Compensation may also include shift differentials. In addition, Grand River Hospital District offers benefits including medical insurance coverage with prescription drug coverage, vision and dental insurance, medical and dependent care flexible spending accounts, life and accidental death and dismemberment insurance, disability, employee assistant programs, paid time off to cover family illness (sick time), holidays, personal business, vacation and other activities, extended illness benefits, 457 retirement plan with match, AFLAC, identity theft protection and pet insurance.

JOB PURPOSE: To improve the health and wellbeing of our communities.

BASIC FUNCTION: The Medical Biller facilitates the billing of insurance companies for all clinic and clinic-based physician bills and facility bills. Completes and verifies ICD-10 coding. Inputs and maintains all payment records in database system. Compiles amounts owed and pursues collection and follows up on all claims until payment is made by insurance companies, Medicare, and Medicaid. Follows up on denied and rejected Medicare and Medicaid claims. Appeals claims to Medicare and Medicaid. Performs other work associated with the billing process. Fills in for Account Representatives at times. Other duties include but are not limited to preparing accounts for cost reports, reviewing, researching, coding, and generating third party billing for GRHD. Cross trains with other positions in the business office. Performs a variety of tasks and other duties as assigned.

QUALIFICATIONS:

Education: High School diploma or equivalent preferred. Post high school courses in insurance billing, data processing and medical terminology preferred.

Experience: Critical Access Medicare / Medicaid billing experience highly preferred. One year prior experience in billing of third party insurances preferred.

KNOWLEDGE, SKILLS AND ABILITIES: Must be able to bill third party insurance for facility and professional claims by hard copy and electronically. Knowledge of third party billing requirements preferred. Must show maturity in dealing with fellow employees. Strong verbal and written communication skills are essential. Prior billing experience and knowledge highly preferred. Must be able to type 35 wpm and operate a CRT and personal computer. Must be proficient within six (6) months of hire in HealthStream, Kronos, Instamed, Meditech, Experian/SSI, Galactica, Medicaid Portal, Allscripts ED, Allscripts PM, Allscripts Touchworks, and LTC and FISS programs.

PHYSICAL REQUIREMENTS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is occasionally required to stand, walk, sit, use the hands to finger, handle or feel objects, tools or controls; reach with hands and arms; climb stairs; balance; stoop, kneel, crouch or crawl; talk or hear; taste or smell. Must be able to lift and/or carry up to 25 pounds and be able to push/pull 25 pounds. Specific vision abilities required by the job include close vision, distance vision, color vision, peripheral vision, depth perception and the ability to adjust focus.

WORKING CONDITIONS: While performing the duties of this job, the employee is exposed to weather conditions prevalent at the time. Conditions for this position reflect those of a standard office environment.