Summary
CommonSpirit Health is a nonprofit Catholic healthcare organization providing integrated health services. The Insurance Biller Collector manages high-volume accounts receivable, processes billing, follows up with insurance carriers, submits appeals for denied claims, and documents account actions to support timely healthcare reimbursement. The role also analyzes billing trends and helps resolve systemic processing issues while maintaining quality and productivity standards.
Responsibilities
- Process daily billing for accounts receivable to ensure prompt claims resolution
- Conduct persistent follow-ups with insurance carriers to secure payment commitments
- Submit timely appeals for denied claims to maximize revenue recovery
- Maintain high-quality assurance (QA) and productivity standards as defined by fiscal goals
- Utilize Cerner and related billing clearinghouse software to document and track account actions
- Analyze billing trends to identify and address systemic processing issues
Skills
- Two (2) years of hospital billing/collection experience or relevant healthcare provider claims experience in a high-volume medical environment (including health plan, hospital claims/reimbursement, and appeals experience)
- Demonstrated experience with AHCCCS, Medicare, government, and commercial payer guidelines
- Proficiency with UB-04 billing requirements and processes
- High School Graduate or Diploma
- Previous experience working with computerized billing systems, word processing software, and spreadsheet applications
- Four (4) years of hospital billing/collection experience or relevant healthcare provider claims experience in a high-volume medical/healthcare remote environment
- Two years of relevant college education and experience
- Completion of college-level business courses
- Hands-on experience with Cerner and various billing clearinghouse platforms
- Experience utilizing Google Workspace applications for administrative and collaborative tasks
Qualifications
Must Haves
- Two (2) years of hospital billing/collection experience or relevant healthcare provider claims experience in a high-volume medical environment (including health plan, hospital claims/reimbursement, and appeals experience)
- Demonstrated experience with AHCCCS, Medicare, government, and commercial payer guidelines
- Proficiency with UB-04 billing requirements and processes
- High School Graduate or Diploma
- Previous experience working with computerized billing systems, word processing software, and spreadsheet applications
Nice to Haves
- Four (4) years of hospital billing/collection experience or relevant healthcare provider claims experience in a high-volume medical/healthcare remote environment
- Two years of relevant college education and experience
- Completion of college-level business courses
- Hands-on experience with Cerner and various billing clearinghouse platforms
- Experience utilizing Google Workspace applications for administrative and collaborative tasks
Benefits