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Insurance Biller Collector - Medicare - NVNV in North Las Vegas, NV at Prime Healthcare Services Inc

Date Posted: 5/7/2019

Job Snapshot

Job Description


The Insurance Biller is responsible to bill all insurance companies, workers compensation carriers, as well as HMO/PPO carriers. Audits patient accounts to ensure procedures and charges are coded accurate and corrects billing errors. Able to identify stop loss claims, implants and missing codes. Maintains proficiency in Medical Terminology. The Insurance Biller is responsible for the follow-up performed on insurance balances as needed to ensure payment without delay is received from the insurance companies. Communicates clearly and efficiently by phone and in person with our clients and staff members. Maintains productivity standards and reports. Obtains updated demographic information and all necessary information needed to comply with insurance billing requirements. Operates computer to input follow up notes and retrieve collection and patient information. Is able to write effective appeals to insurance companies.

Education and Work Experience

  1. Knowledge of multiple insurance billing requirements and 1-2 years of billing experience in NV Medicare Billing and Collection experience.
  2. Knowledge of UB04 Inpatient and Outpatient Medicaid Billing and Logging in a Hospital or Healthcare setting.
  3. Knowledge of DRGs, CPT and HCPCS codes.
  4. Knowledge of EPIC EHR is desirable.
  5. Effective written and verbal communication skills.
  6. Ability to multi-task, prioritize needs to meet required timelines.
  7. Analytical and problem-solving skills.
  8. Customer Services experience required.
  9. High School Graduate or GED Equivalent Required (effective 4/1/14 for all new hires).
  10. Bachelor's Degree desirable.


We are an Equal Opportunity/ Affirmative Action Employer and do not discriminate against applicants due to veteran status, disability, race, gender, gender identity, sexual orientation or other protected characteristics. If you need special accommodation for the application process, please contact Human Resources.  EEO is the Law:


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