Biller

Responsibilities

Position Summary

The Biller is responsible for the accurate and timely submission and follow-up of Managed Care and Commercial insurance claims for the Psychiatric Division. This role includes oversight of claim transmissions, follow-up with third-party payers, account reconciliation, and patient billing inquiries. The Biller ensures compliance with all regulatory billing guidelines and supports revenue cycle efficiency through accurate documentation and proactive follow-up.

Key Responsibilities

Submit and follow up on all Managed Care and Commercial insurance claims for psychiatric services. Monitor daily transmittal, acceptance, and error reports to ensure accuracy and timeliness of electronically submitted claims. Correct and resubmit claims via EMR or other claim correction tools as required. Manually submit all secondary insurance claims that do not transmit electronically after Medicare payment.

Follow up with secondary third-party payers to confirm claim receipt and obtain status updates. Process refunds as necessary, ensuring accuracy and documentation. Respond professionally to patient billing inquiries in a timely and courteous manner. Maintain accurate and up-to-date records and documentation, including patient folders and remittance advices.

Review and reconcile patient accounts following Managed Care and Commercial insurance claims payments. Verify that clinical summaries align with billing details to ensure accurate claims submission. Review and follow up on items listed in the monthly Aged Trial Balance. Maintain and update the Bad Debt Log in accordance with department procedures.

Bill secondary self-pay accounts to patients through the full dunning cycle. Ensure that all financial information in patient folders is complete and accurate upon check-in from the division. Assist in other related or emergency duties as assigned by supervisor or leadership. Support the billing department in achieving overall compliance and performance goals.

Qualifications

High School Diploma or GED required; Associate’s degree in Accounting, Business, or Healthcare Administration preferred. Minimum 2 years of medical billing experience, preferably in a psychiatric or behavioral health setting.