Billing Representative

Billing Representative

Overview
The Billing Representative is responsible for the timely and accurate submission of patient bills to various insurance payors, including Medicare, Medicaid, Blue Cross, commercial, and other government entities.

This role involves managing billing processes, maintaining customer relationships, and ensuring financial goals are met.

Responsibilities


* Coordinate daily hospital billing within established controls to ensure adherence to billing guidelines and standards.


* Manage billing inventory for assigned clients and meet financial goals.


* Build and maintain strong customer relationships.


* Maintain working knowledge of all software applications related to billing claims.


* Process claims generated on late charge reports, rejected claims, claims in error, DDE claims, and shadow claims daily.


* Ensure facility Rebills are worked and comments logged on patient accounts within 7 business days.


* Communicate issues impairing the billing process to the Team Lead/Manager.


* Communicate with hospitals to retrieve information for rebills/corrected claims.


* Communicate with insurance payors to work claims not processed/paid, utilizing various strategies such as phone calls, letters, meetings, faxing, and emails.


* Partner with other teams/departments to resolve billing/payor payment issues.


* Submit billing/rebilling requests from customers and team members in a timely manner.


* Stay current with billing practices for private and government payors, including billing software applications.


* Assist in the training and education of new and existing employees.


* Maintain the effectiveness and implementation of the MEDHOST Quality Management System and meet applicable regulatory requirements.


* Perform other duties as assigned.


* Accurately input/submit worked time by departmental deadlines.


* Maintain in-depth knowledge of MEDHOST core products and third-party clearinghouses.


* Maintain industry knowledge through self-study and training.


* Recommend department and customer documentation.


* Provide training and training documentation in areas of expertise.


* Attend and participate in team and departmental meetings.


* Respond to emails, telephone calls, voicemails, Microsoft Teams messages, and correspondence from facilities in a timely manner.


* Adhere to all HIPAA Privacy and Security requirements.


* Perform duties in a positive manner that upholds company policies and procedures.

Requirements


* High School or equivalency diploma required.


* Minimum 1 year of experience in a hospital billing/patient account receivable related environment.


* Minimum 1 year of experience utilizing hospital claims management/billing software.


* Ability to follow directions and perform work according to department standards independently.


* Computer skills in Microsoft Office applications (Word, E...