Clinic Biller
Weslaco, TXFull-timeSeen 1mo agoSeen in employer's feed 4 days ago
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Job overview
Prime Healthcare is hiring a Clinic Biller. The Clinic Biller at Prime Healthcare’s Knapp Medical Center in Weslaco, TX will manage patient billing and insurance claims for the physician group or hospital, ensuring accurate coding, timely reimbursements, and clear communication between patients, insurers, and medical staff while upholding the organization’s core values of quality, compassion, and community.
Key focus areas include Submit claims to appropriate intermediaries and ensure coding compliance with payer regulations, Obtain required authorizations for processing and payment of claims, and Manage follow-up and denial management for final resolution and communicate with clients and staff.
Important skills include ICD9, CPT, HCPCS, DRG, Communication, and Medical Terminology.
Skills & qualifications
Skills
Qualifications
Benefits
Full job description
Overview
Clinic Biller
Location: Knapp Medical Center - Weslaco, TX
Full-Time | Days | 8 - Hour Shifts | 8:00am - 5:00pm
As our Medical Biller, you will manage patient billing and insurance claims in our Physician Group or Hospital . The Medical Biller will ensure accurate coding, timely reimbursements and clear communication between patients, insurers, and our medical group or hospital departments .
Here are some of the benefits of working at Prime Healthcare:
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Health, dental, and vision insurance options
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Paid vacation, sick time and holidays
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Bereavement leave, FMLA and other leave options
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Employer 401K options
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Tuition reimbursement options
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Life, disability, and other insurance options
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Many other amazing benefits
At Knapp Medical Group, our dedicated team of professionals is committed to our core values of quality, compassion, and community. Affiliated with Knapp Medical Center, Knapp Medical Group is actively seeking new members to join its award-winning team!
Responsibilities
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The Biller is responsible for submitting claims to the appropriate intermediaries and to insure that procedures and charges are coded in compliance with all payers including Medi-Cal and/or Medicare regulations.
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Responsible for obtaining required authorizations necessary for the processing and payment of claims.
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The Biller is responsible for the follow-up and denial management as necessary for final resolution. Responsible to identify the various types of diagnosis and procedures codes (ICD9, CPT, HCPCS, DRG) as they relate to reimbursement. Communicates clearly and efficiently by phone and in person with clients and staff members.
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Maintains productivity standards and reports.
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Obtains updated demographic information and all necessary information needed to comply with the various Government Programs billing requirements.
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Operates computer to input follow up notes and retrieve collection and patient information. Maintains proficiency in Medical Terminology
Qualifications
Education and Work Experience
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Previous Billing Experience within a hospital Business Office Required.
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Previous experience with government programs and collections preferred.
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Knowledge of medical terminology
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Effective written and verbal communication skills
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Ability to multi-task, prioritize needs to meet required timelines
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Analytical and problem-solving skills
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Customer Services experience required
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High School Graduate or GED Equivalent Required (effective 4/1/14 for all new hires)
#LI-DL1
Employment Status
Full Time
Shift
Days
Equal Employment Opportunity
Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC\_KnowYourRights\_screen\_reader\_10\_20.pdf
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FacilityKnapp Medical Group
LocationUS-TX-Weslaco
ID2026-276270
CategoryAdmin
Position TypeFull Time
ShiftDays
Job TypeNon-Exempt
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