BillerSr

Job Summary Responsible for overseeing the billing and collection processes of a healthcare organization. They ensure that the claims are submitted accurately and timely, and that the payments are received and reconciled. They also supervise and train the billing staff, monitor the performance and compliance of the billing department, and resolve any issues or disputes with payers, patients, or providers. Essential Functions * Submit claims electronically or by mail to insurance companies, government agencies, or other payers * Follow up on unpaid or rejected claims or account inquiries to resolve any issues or discrepancies. * Monitor claim status and ensure timely and accurate reimbursement. * Review and verify patient information, diagnosis codes, procedure codes, modifiers, and charges for accuracy and compliance. * Follow up on denied claims and make necessary corrections or appeals. * Maintain accurate and confidential records of billing transactions and documentation. * Update and verify patient demographics, insurance information, and eligibility. * Report and resolve any discrepancies, errors, or irregularities in billing processes. * Communicate professionally with patients, providers, and insurers to address billing questions and disputes. * Process payments, adjustments, refunds, and write-offs. * Collaborate with other areas within revenue cycle, operations, and shared service areas to address and prioritize work efforts. * Prepare and send statements and invoices to patients or responsible parties. * Prepare and analyze reports on the billing, reconciliation, and collection activities, and identify and address any trends, issues, or opportunities for improvement. * Ensure compliance with the policies and procedures of the organization, as well as the regulations and standards of the industry and the payers. * Mentor, train, and evaluate the billing staff, and provide feedback and guidance on their performance and development. * Handle complex or escala