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Biller

.BillerLocation: This position will work onsite. The Ideal candidate will live within 50 miles of our Elevance Health PulsePoint location, in Las Vegas, NV.The Biller is responsible for reviewing account files to ensure accuracy and completeness, maximum reimbursement, and appeal denials.How you will make an impact:• Reviews patient account files.• Prepares and reviews billings to be submitted to primary/secondary insurance carriers and/or Medicare/MediCal.• Collects and decreases assigned Accounts Receivable focusing on high value accounts.• Manages and maintains third party accounts.• Responds to patient, insurance carrier and internal and external telephone inquiries.• Completes all denial and correspondence daily.• Prepares and submits refund requests to insurance carriers.• Re-bills claims when not paid properly.Minimum requirements:• Requires a H.S. diploma or equivalent and a minimum of 2 years of experience in billing and appeals process in Medicare/MediCal, including medical office experience; or any combination of education and experience, which would provide an equivalent background.Preferred Skills, Capabilities and Experiences:• ICD-9 and CPT-4 coding knowledge strongly preferred.• Experience in adjudicating claims.• Billing experience.• Experience in the healthcare industry.For candidates working in person or remotely in the below location(s), the salary* range for this specific position is $18.54 to $27.81Locations: Las Vegas, NV.In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.• The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law.Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.Who We AreElevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.How We WorkAt Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.com for assistance.
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What You Should Know About Biller, Elevance Health

Are you ready to make a difference in the healthcare landscape? Elevance Health in Las Vegas, NV, is on the lookout for a dedicated Biller to join our team! In this role, you'll be pivotal in reviewing patient account files to ensure their accuracy and maximize reimbursement. If you enjoy working with numbers and helping others navigate the complex world of healthcare billing, then this position is calling your name! Your day-to-day responsibilities will include preparing and submitting billings to primary and secondary insurance carriers, managing accounts receivable, and responding promptly to inquiries from patients and insurance companies alike. You'll also handle denials, correspondence, and even prepare refund requests. It's a dynamic role that requires attention to detail and strong communication skills. Ideally, we’re seeking someone with at least two years of experience in billing, specifically within the Medicare/MediCal landscape. Familiarity with ICD-9 and CPT-4 coding is a big plus! At Elevance Health, we value our employees and offer a comprehensive benefits package that includes medical, dental, and vision coverage, 401(k) options, paid time off, and much more. Plus, you’ll be part of a culture that promotes personal and professional growth. If you live within 50 miles of our Las Vegas PulsePoint location and are excited about this opportunity, we’d love to hear from you. Come be part of a Fortune 25 company that is committed to making healthcare simpler and better for everyone!

Frequently Asked Questions (FAQs) for Biller Role at Elevance Health
What are the primary responsibilities of a Biller at Elevance Health?

The primary responsibilities of a Biller at Elevance Health include reviewing patient account files, preparing billings for submission to insurance carriers or Medicare/MediCal, managing accounts receivable, and handling patient inquiries related to billing. You will also work on resolving any denials and correspondence, which is crucial for ensuring maximum reimbursement for services rendered.

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What qualifications do I need to apply for the Biller position at Elevance Health?

To apply for the Biller position at Elevance Health, you need a high school diploma or equivalent. A minimum of two years of experience in billing and appeal processes, ideally in Medicare/MediCal, is also required. Familiarity with ICD-9 and CPT-4 coding is preferred, along with experience in the healthcare industry.

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Can I work remotely as a Biller at Elevance Health?

While Elevance Health embraces a hybrid workforce strategy, the Biller position requires you to work onsite at least once a week at our Las Vegas location. This setup balances the need for in-person collaboration while also providing some flexibility.

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What benefits does Elevance Health offer to its Billers?

Elevance Health offers a comprehensive benefits package for its Billers, including medical, dental, vision insurance, 401(k) matching, paid time off, stock purchase plans, and wellness programs. The company is also committed to supporting the professional growth and well-being of its employees.

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How does Elevance Health support career development for Billers?

Elevance Health supports career development for its Billers through various programs that promote personal and professional growth. Employees are encouraged to take advantage of training opportunities and resources that help enhance their skills and advance their careers within the organization.

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Common Interview Questions for Biller
What experience do you have with reviewing patient accounts?

In your answer, focus on your previous experience with reviewing patient accounts and identifying discrepancies. Discuss specific situations where your attention to detail helped resolve an issue or improved reimbursement accuracy.

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How do you handle billing denials?

Elaborate on your process for handling billing denials. Explain how you investigate the reason for the denial, communicate with relevant parties, and implement corrective actions to avoid future issues. Being results-oriented and proactive is key.

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Can you explain the process of submitting claims to insurance carriers?

Focus on your understanding of the claims submission process, including preparation, submitting the claim on time, and following up if necessary. Highlight any relevant software or systems you've used in your previous roles.

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What strategies do you use to decrease accounts receivable?

Discuss your approach to managing accounts receivable, including prioritizing high-value accounts, following up on outstanding payments, and collaborating with other departments if necessary. Provide examples of successful strategies you've implemented in the past.

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How do you stay organized while managing multiple accounts?

Share techniques that help you stay organized, such as utilizing software tools for tracking, setting priorities, and creating a structured workflow. Mention how you ensure accuracy while juggling multiple tasks.

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What coding systems are you familiar with?

Mention your familiarity with ICD-9 and CPT-4 coding systems. Discuss how you’ve applied this knowledge in your previous roles and the importance of coding accuracy in the billing process.

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How do you ensure compliance with billing regulations?

Discuss your understanding and application of relevant billing regulations. Highlight your strategies for ensuring compliance, such as staying informed of changes in regulations and participating in training sessions.

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How do you manage difficult conversations with patients regarding billing inquiries?

Describe how you approach sensitive conversations with empathy and professionalism. Emphasize your communication skills and your goal of resolving issues while comforting patients.

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What role does technology play in your billing process?

Talk about the billing software and tools you have utilized in past jobs. Explain how technology has streamlined processes, improved accuracy, and reduced turnaround times for claim submissions.

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Why do you want to work as a Biller at Elevance Health?

Reflect on your reasons for wanting to join Elevance Health, such as the company's reputation for improving healthcare. Align your career goals with the company’s mission to demonstrate your commitment and enthusiasm.

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Our mission is to improve lives and communities. Simplify healthcare. Expect more.

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Full-time, on-site
DATE POSTED
December 11, 2024

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