About this role
About the Role Join Guidehouse as a Medical Biller - Hospital Commercial Biller responsible for initial and secondary billing and payer audit follow-up for government and non-government claims. The role requires collaboration with other departments to meet facility goals and a strong ability to resolve billing issues while staying informed on payer patterns and regulatory requirements. The position supports a hybrid work schedule (two days in the San Marcos, CA office and three days remote). What You'll Do
- Correcting and billing electronic and hardcopy claims
- Submits Adjusted claims
- Provides Follow-up Billing
- Prepares Billing Reconciliation
- Performs daily download and reconciliation of claims from patient accounting system to electronic billing system
- Transmits or releases claims at a minimum daily
- Works all assigned claims daily by resolving issues What We're Looking For
- Extensive knowledge of billing requirements mandated by payers and/or governmental regulations
- Ability to find solutions to problems and keep management informed of patterns regarding billing edits, compliance issues, payments and/or other issues with specific payers
- Must work with other departments to facilitate meeting departmental and facility goals