Hospital Billing, Follow Up & Denials Rep – Hybrid - 137620

About the role

The Hospital Billing & Follow Up Rep is responsible for the full range of hospital insurance billing, collections and credit balance account processing. This role responds to billing inquiries from patients, insurance companies and internal department team members; identifies and resolves account adjustments, resolves billing edits and processes account credit balances and insurance refund requests.

Responsibilities

• Extensive knowledge of hospital medical insurance payers and plans, State and Federal rules/regulations related to billing hospital medical insurance claims.
• Extensive knowledge of medical insurance claim appeal submission processes.
• Knowledge of medical terminology, ICD9, CPT, HCPCS, coding principles, self-pay collections and mandated charity laws.
• Extensive knowledge of HIPAA regulations and medical record submissions to support hospital claim billing.

Requirements

• Three (3) years of recent acute care hospital billing and collection experience.
• Knowledge of medical insurance and State and Federal rules and regulations related to billing Insurance Claims.
• Extensive knowledge in Insurance claims appeals, and range of knowledge in ICD-9, CPT, HCPCS coding principles.
• Knowledge in self-pay collections.
• Knowledge of UB04 and revenue codes as it pertains to billing.

Preferred Qualifications

• Epic Resolute experience.
• UB04 experience.
• Previous hospital billing experience.
• Previous hospital credit balance/refund processing experience.

Special Conditions

• Must be able to work various hours and locations based on business needs.
• Employment is subject to a criminal background check and pre-employment physical.

Pay, Benefits & Schedule

Hiring Pay Scale: $29.27 - $36.39 / Hour
Annual Full Pay Range: $61,116 - $75,982 (will be prorated if the appointment percentage is less than 100%)
Hourly Equivalent: $29.27 - $36.39
Factors in determining the appropriate compensation for a role include experience, skills, knowledge, abilities, education, licensure and certifications, and other business and organizational needs.

Application Information

Applications/Resumes are accepted for current job openings only. For full consideration on any job, applications must be received prior to the initial closing date. If a job has an extended deadline, applications/resumes will be considered during the extension period; however, a job may be filled before the extended date is reached.