MemorialCare is a nonprofit integrated health system that includes four leading hospitals, award-winning medical groups – consisting of over 200 sites of care, and more than 2,000 physicians throughout Orange and Los Angeles Counties. We are committed to increasing access to patient-centric, affordable, and high-quality healthcare; your personal contributions are integral to MemorialCare's recognition as a market leader and innovator in value-based and other care models. 

Across our family of medical centers, we support each one of our bright, talented employees in reaching the highest levels of professional development, contribution, collaboration, and accountability. Whatever your role and whatever expertise you bring, we are dedicated to helping you achieve your full potential in an environment of respect, innovation, and teamwork.

Title: Patient Account Biller Senior

Location: Fountain Valley

Department: Patient Accounting

Status: Full-time/Predominantly Remote

Shift: Days (8hr shifts)

Pay Range: $25.98/hr - $37.67/hr

At MemorialCare Health System, we believe in providing extraordinary healthcare to our communities and an exceptional working environment for our employees. Memorial Care stands for excellence in healthcare. Across our family of medical centers, we support each one of our bright, talented employees in reaching the highest levels of professional development, contribution, collaboration, and accountability. Whatever your role and whatever expertise you bring, we are dedicated to helping you achieve your full potential in an environment of respect, innovation, and teamwork.

Purpose Statement / Position Summary

Medicare Biller, Senior is responsible for all Medicare billing of accounts to Fiscal Intermediary (FISS) to ensure that PFS is capturing all revenues as timely, efficiently, and accurately as possible. The Medicare Biller, Senior utilizes many complex and varying regulations, guidelines, and systems to perform Medicare billing functions.   Proactively works with Fiscal Intermediary, patients and in-house resources to identify and resolve issues that delay account billing.   Works under the supervision of management performing all tasks related to hospital reimbursement.    

This position offers you the opportunity to work from home (WFH)

Essential Functions and Responsibilities of the Job 

   1.     Ability to utilize patient billing software in performance of job functions.

   2.     Ability to accurately and timely request documentation needed from other departments to complete the billing process.

   3.     Ability to apply working knowledge of coding for accurate, timely billing reimbursement. 

   4.     Demonstrates appropriate follow-up necessary resulting in expedient payment of billed charges. 

   5.     Ability to recognize, share and apply knowledge of state and federal regulations in Medicare billing activities.

   6.     Able to be at work and on time, follow organization rules and procedures and directions from a Coordinator/Lead or other member of the Management staff.

   7.     At all times, provides professional and exceptional customer service and sets an example when interacting with all customers.

   8.     Able to adhere to all confidentiality policies and procedures and carries out all tasks in a pleasant and respectful manner.

   9.     Ability to make suggestions for and initiate enhancements throughout the department and continually seeks opportunities to improve current policies, procedures and practices. 

   10.  Able to recognize and perform essential duties and offers assistance to others or performs other required tasks when own assignments are completed.  Performs other duties as assigned by management.

   11.  Ability to use critical thinking while reviewing Medicare billing and collection notes in the financial computer system to ensure that the appropriate action is taken within the billing and collection process and to ensure correct hospital reimbursement.

*Placement in the pay range is based on multiple factors including, but not limited to, relevant years of experience and qualifications. In addition to base pay, there may be additional compensation available for this role, including but not limited to, shift differentials, extra shift incentives, and bonus opportunities. Health and wellness is our passion at MemorialCare—that includes taking good care of employees and their dependents. We offer high quality health insurance plan options, so you can select the best choice for your family. And there’s more...Check out our MemorialCare Benefits for more information about our Benefits and Rewards.

Experience

Minimum 2 years Acute Care In-Patient and Out-Patient Medicare Hospital Billing experience.  (required)

Understanding of Medicare insurance Billing processes (required)

Excellent interpersonal skills

Positive work ethics

Bi-lingual preferred

Knowledge of medical terminology and coding, preferred.

Written and verbal communication skills to meet productivity standards.

Microsoft Office and Outlook experience 

Education

High School diploma, GED equivalent, preferred.

Hospital billing courses, preferred.