The Institutional & ProFee Claim Biller - Commercial position is responsible for day-to-day execution of TruBridge's complete business office services. This position is responsible for providing TruBridge claims processing services to Critical Access Hospital (UB-04) and Rural Health Clinic (CMS-1500) facilities in New Hampshire. This includes coordinating the day to day activities of a hospital's or clinic's business office such as patient billing and collection, third-party payer relations, and/or preparation of insurance claims.Essential Functions: In addition to working as prescribed in our Performance Factors specific responsibilities of this role include:* Coordinates business office functions and personnel that may include, but is not limited to patient billing, credit and collections, and data entry.* Recommends new processes and changes in current processes.* Implements controls to ensure appropriate submission, billing and credit and collections are kept in accordance with established procedures* Implements appropriate procedures for follow-up on third party approvals, billing, and collection of overdue accounts* Ensures that accurate and timely billing is being done by staff members in accordance with established procedures and third-party requirements* 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* Responsible for assisting manager in the management of employees which would include coaching, training and performing necessary disciplinary actions including following up on action plans for their employees.* Maintains quality customer service by following company policies and procedures as well as policies and procedures specific to each customer* Ensures employee compliance with dress code, attendance and other company policies.* Processes miscellaneous paperwork and performs other administrative duties as assigned.Minimum Requirements:Education/Experience/Certification Requirements* At least 3-5 years Full-Cycle billing experience, to include BOTH Acute Hospital and/or Physician (Profee) claims* Experience with Claims and Denial Que's *REQUIRED Familiar with Commercial claims*REQUIRED**** Strong organizational, multi-tasking, and time-management skills.* Must be detail oriented and able to follow through on issues to resolution.* Must be able to act both independently and as a team member.* High School Diploma or equivalent combination of education and relevant experience needed.* Excellent critical thinking, organizational, and time management skills with a strong attention to detail, accuracy, and follow through* Work remotely with a work/life balance approach* Robust benefits offering, including 401(k)* Generous time off allotments* 10 paid holidays annually* Employer-paid short term disability and life insurance* Paid Parental Leave
