TruBridge

Biller

• Execute TruBridge’s complete business office services
• Provide claims processing services to Critical Access Hospital (UB-04) and Rural Health Clinic (CMS-1500) facilities in New Hampshire
• Coordinate hospital and clinic business office activities, including patient billing, collections, third-party payer relations, and insurance claim preparation
• Coordinate business office functions and personnel, including patient billing, credit and collections, and data entry
• Recommend new processes and changes to current processes
• Implement controls for appropriate claim submission, billing, credit, and collections
• Implement procedures for follow-up on third-party approvals, billing, and overdue account collections
• Ensure accurate and timely billing in accordance with established procedures and third-party requirements
• Meet production and quality assurance standards
• Maintain quality customer service according to company and customer policies and procedures
• Participate in company-provided education opportunities
• Protect confidential customer information
• Process miscellaneous paperwork and perform administrative duties
• Assist with team projects
• Assist the manager with employee management, including coaching, training, disciplinary actions, and action-plan follow-up
• Ensure employee compliance with dress code, attendance, and other company policies

Institutional & ProFee Claim Biller – Commercial & Medicaid

• Execute TruBridge’s complete business office services
• Provide claims processing services to Critical Access Hospital (UB-04) and Rural Health Clinic (CMS-1500) facilities in New Hampshire
• Coordinate hospital and clinic business office activities, including patient billing and collection, third-party payer relations, and preparation of insurance claims
• Coordinate business office functions and personnel, including patient billing, credit and collections, and data entry
• Recommend new processes and changes to current processes
• Implement controls for appropriate submission, billing, credit, and collections
• Implement procedures for follow-up on third-party approvals, billing, and overdue account collection
• Ensure accurate and timely staff billing in accordance with established procedures and third-party requirements
• Meet production and quality assurance standards
• Maintain quality customer service according to company and customer-specific policies and procedures
• Update job knowledge through company education opportunities
• Protect confidential customer information
• Process miscellaneous paperwork and perform administrative duties
• Work with high-profile customers and difficult processes
• Assist with team projects
• Assist the manager with employee management, including coaching, training, disciplinary actions, and action-plan follow-up
• Ensure employee compliance with dress code, attendance, and other company policies

Institutional & ProFee Claim Biller – Commercial

• Execute TruBridge’s complete business office services
• Provide claims processing services to Critical Access Hospital (UB-04) and Rural Health Clinic (CMS-1500) facilities in New Hampshire
• Coordinate day-to-day hospital or clinic business office activities, including patient billing, credit and collections, data entry, third-party payer relations, and insurance claim preparation
• Recommend new processes and changes to current processes
• Implement controls for appropriate submission, billing, credit, and collections
• Follow up on third-party approvals, billing, and overdue account collections
• Ensure accurate and timely staff billing in accordance with procedures and payer requirements
• Meet production and quality assurance standards
• Maintain customer service and protect confidential customer information
• Process miscellaneous paperwork and administrative duties
• Assist with team projects
• Assist the manager with employee coaching, training, disciplinary actions, and action-plan follow-up
• Ensure employee compliance with dress code, attendance, and company policies

Insurance

• Verify patient eligibility and benefits
• Read and understand clinical notes and/or patient charts
• Create authorizations if needed
• Perform daily insurance authorization specialist tasks
• Initiate authorizations using Cerner when applicable

Insurance Authorization Specialist

• Execute TruBridge’s complete business office services
• Provide claims processing services to Critical Access Hospital (UB-04) and Rural Health Clinic (CMS-1500) facilities in New Hampshire
• Coordinate hospital and clinic business office activities, including patient billing and collection, third-party payer relations, and insurance claim preparation
• Coordinate business office functions and personnel, including patient billing, credit and collections, and data entry
• Recommend new processes and changes to current processes
• Implement controls for appropriate submission, billing, credit, and collections
• Implement procedures for follow-up on third-party approvals, billing, and overdue account collection
• Ensure accurate and timely staff billing in accordance with procedures and third-party requirements
• Meet production and quality assurance standards
• Maintain quality customer service according to company and customer policies
• Protect confidential customer information
• Process miscellaneous paperwork and administrative duties
• Assist with team projects
• Assist the manager with employee coaching, training, disciplinary actions, and action-plan follow-up
• Ensure employee compliance with dress code, attendance, and other company policies

Account Manager

• Oversee daily operational performance, battle cards, action plans, and key KPIs across assigned clients
• Serve as the primary senior operational point of contact for clients
• Translate client needs, issues, and requests into prioritized operational actions and execution plans
• Identify operational risks and performance trends and guide corrective actions
• Ensure accurate reporting, consolidated performance insights, and clear status updates
• Lead operational work for domestic clients across assigned accounts
• Review dashboards and performance data to identify trends, risks, and deficiencies
• Lead corrective action plans to improve outcomes
• Drive operational efficiency and reimbursement optimization through standardization, workflow alignment, issue triage, and cross-functional collaboration
• Ensure consistent execution standards across teams and client portfolios
• Maintain trusted relationships with client operational stakeholders
• Own and escalate significant operational risks with timelines and mitigation plans
• Partner with operations, finance, payer relations, technology, and strategic client management teams
• Ensure execution aligns with contracts, billing standards, and service-level commitments
• Maintain knowledge of hospital billing systems, government payer programs, reimbursement policies, and regulations
• Maintain confidentiality of patient and client information
• Attend required meetings and stay current on industry trends and regulatory changes
• Oversee customer invoicing accuracy and support monthly invoicing processes
• Recruit, screen, and select candidates
• Orient new hires and ensure appropriate hiring plans
• Administer performance management, feedback, and reviews
• Maintain current job descriptions and accurate staff records
• Support organizational development and training programs
• Mentor, guide, and coach direct reports
• Communicate corporate matters and administer internal policies and procedures
• Comply with employment laws and regulations

Group Lead, Operations Account Management

Customer Support

• Provide TruBridge Contact Center Support to Early Out Service clients and patients
• Support inbound and outbound patient contact from 8am–5pm PST, Monday to Friday
• Meet production standards for inbound and outbound calls
• Meet quality assurance standards
• Maintain quality customer service by following company and customer-specific policies and procedures
• Update job knowledge through company-offered education opportunities and gain proficiency in services and information systems
• Protect confidential customer information
• Process miscellaneous paperwork and documentation
• Assist callers with medical billing questions and financial assistance programs
• Set up payment plans and process payments
• Schedule callbacks as needed
• Collaborate as a team member
• Perform additional tasks assigned by the supervisor or call center management

Customer Service Representative

• Provide TruBridge Contact Center Support to clients and Early Out Service patients
• Support inbound and outbound patient contact from 11am–8pm CST, Monday to Friday
• Meet production standards for inbound and outbound calls
• Meet quality assurance standards
• Maintain quality customer service by following company and customer-specific policies and procedures
• Update job knowledge through company-offered education opportunities and gain proficiency in services and information systems
• Keep customer information confidential
• Process miscellaneous paperwork and documentation
• Assist callers with medical billing questions and financial assistance programs
• Set up payment plans and process payments
• Schedule callbacks as needed
• Collaborate as a team member
• Perform additional tasks assigned by the supervisor or call center management

• Provide TruBridge Contact Center Support to Early Out Service clients and patients
• Consistently meet production standards for inbound and outbound calls
• Consistently meet quality assurance standards
• Maintain quality customer service by following company and customer-specific policies and procedures
• Update job knowledge through company-offered education opportunities and gain proficiency in services and information systems
• Protect confidential customer information
• Process miscellaneous paperwork and documentation
• Assist callers with medical billing questions, financial assistance programs, payment plans, and payment processing
• Schedule callbacks as needed
• Collaborate as a team member
• Complete additional tasks assigned by the supervisor or call center management

• Verify patient eligibility and benefits
• Read and understand clinical notes and/or patient charts
• Create authorizations if needed
• Handle authorization, insurance billing, or similar department tasks
• Follow issues through to resolution
• Meet individual patient needs based on physical, psycho-social, educational, safety, and other criteria

Medical Billing and Coding

• Handle medical coding and data entry / abstraction for Hospital (Acute) In-patient visits
• Code CABG (cardio), Ortho, and Med cases
• Use the 3M 360 Encoder HDM to streamline the coding/billing process
• Accurately assign ICD-10-CM and PCS primary and secondary diagnoses and procedure codes based on documentation and site-specific guidelines and policies
• Accurately assign the DRG
• Create compliant physician queries
• Review claims for medical necessity
• Update problem lists consistent with client contract
• Assign present on admission indicators
• Provide customer service to clients and teammates
• Float between multiple sites and coding specialties
• Perform other job-related duties as required
• Comply with Equal Employment Opportunity laws, HIPAA, ERISA, and other applicable regulations

Institutional & ProFee Claim Biller – Commercial & Medicaid

Institutional & ProFee Claim Biller – Commercial

Institutional & ProFee Claim Biller – Commercial

Insurance Authorization Specialist

Institutional & ProFee Claim Biller – Commercial & Medicaid

Group Lead, Operations Account Management

Customer Service Representative

Customer Service Representative

Customer Service Representative

Insurance Authorization Specialist

In-Patient Coder – Acute – CABG