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Commercial Insurance Biller

Company: Avalon Health Care Group
Location: Salt Lake City
Posted on: August 8, 2022

Job Description:

Overview

Avalon Health Care Management, Inc. is seeking an experienced Commercial Insurance Biller to join our outstanding team!

If you have the ability to multitask and you have a good understanding of billing processes in a Health Care setting, we would love to speak with you about this opportunity! We offer great challenges, a rewarding career and opportunities for advancement! Develop lasting relationships with our patients and the staff in our building. The valuable work we do makes a difference in the lives of our patients and their families.

Our Benefits include:

* Medical, Dental, Life, Vision, Short Term Disability, Long Term Disability, and Pet insurance.
* We offer career advancement courses
* Two weeks of PTO
* 401K

Responsibilities

* Authorization - Review and follow up with the facilities to ensure facility has received authorization to provide services to all Medicare Advantage, Commercial Insurance, Work Comp, Third party Liability insurance plans patient.
* Billing Claims - Employee will bill according to the outlined billing schedule as set by the Avalon Corporate Office. Billers will prepare, review, and transmit claims using billing software through electronic and paper claim processing.
* Claim Follow-up - Employee will provide claim follow up based on Avalon claim review protocol. Biller will contact insurance providers through phone and online review of outstanding claims. Follow up process will continue until claims in reduce from outstanding AR.
* Claims Research & Adjustments - Outstanding claims will be researched and reviewed until the AR payer has been relieved. Employee will process refunds and adjustments according to Avalon guidelines.
* Claim Payment - Employee will collect the payment EOB and process payment as indicated for patients' dates of service. Payments which are not equal to outstanding AR will be researched and reprocess for refunds, additional payment request, or adjustment needs.
* Communication - Employee will need to have effective communication with the insurance payers to resolve outstanding issues. Employee will also need to work effectively with facility personal to resolve issues for billing.
* Aging Reviews - Completes monthly aging for facilities and attends aging review meetings when necessary.
* Update cash spreadsheet for Cash Management Department.
* Run collection reports for Cash Management and Operational requests.

Qualifications

* Associates Degree or equivalent work experience.
* Minimum 2 years billing experience.
* Basic understanding of computer technology.
* Proficient in Excel.
* Knowledge of and previous experience with payroll taxes and quarter and year-end adjustments.

#CB

#Talroo

Keywords: Avalon Health Care Group, Salt Lake City , Commercial Insurance Biller, Other , Salt Lake City, Utah

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