PFS Biller-8115

Job description

Position Title: Insurance Biller Position Purpose: All KHI employees are expected to perform their respective tasks and duties in such a way that supports KHI’s vision to be among the kindest, highest quality health systems in the country. The purpose of this position is to ensure the accurate and timely billing of hospital services to insurance carriers, government programs, and patients in compliance with all regulatory and contractual requirements. The Hospital Insurance Billing Specialist plays a key role in the hospital’s revenue cycle by reviewing patient accounts, verifying insurance coverage, preparing and submitting claims, and resolving billing discrepancies to maximize reimbursement and minimize delays. This position supports the hospital’s financial integrity and commitment to high-quality patient care by maintaining exceptional attention to detail, adhering to compliance standards, and providing excellent communication and customer service to patients, payers, and internal departments. Key Responsibilities: Accuracy: - Reviews CMS-1500 and UB-04 claim forms for completeness, efficiency, and accuracy prior to submission. - Reviews claims for reasonableness of charges an...