Hospital Billing Representative II

PRIMARY FUNCTION

Collection of insurance accounts receivable including, but not limited to, reporting, analysis, disputes, appeals, and reconciliation of acute hospital/facility claims.

PRINCIPAL DUTIES AND RESPONSIBILITIES

• Reviews and submits UB-04 forms to insurance companies.
• Performs follow-up with insurance representatives to obtain claim status, payment and to resolve claim discrepancies.
• SUBMIT itemized bills, medical records and corrected claims as needed.
• Reviews payment vouchers to ensure proper reimbursement.
• INTERACTS directly with department staff, Revenue Integrity, HIMS, and payer representatives to evaluate and resolve line level denials.
• PARTICIPATES in trend analysis to management, leadership, and insurance liaisons.
• WRITES and SUBMITS appeals when claims deny incorrectly.
• WORKS rejection and late charge reports.
• UTILIZES the Soarian/Cerner billing system for AR and denial reporting.
• UTILIZES ePremis for clean claim review and transmission.
• AUTHORS external payer sites for payer policies and claim disputes.

SCOPE, PURPOSE, AND FREQUENCY OF CONTACTS

Frequent contact with hospital billing staff, Revenue Integrity, HIMS, Admitting, ancillary department contacts and insurance representatives.

EDUCATION AND EXPERIENCE REQUIREMENTS

• High school graduate or equivalent required, Associate’s Degree preferred.
• 1-3 years of experience in A/R processes preferred, ideally within a hospital billing setting.

KNOWLEDGE, SKILL, AND ABILITY REQUIREMENTS

• Data entry;
• Soarian and ePremis navigation.
• Working knowledge of Microsoft applications, such as Word and Excel.
• Knowledge of hospital billing and reimbursement policies and procedures.
• Skill in written and oral communication.
• Ability to act independently within established guidelines.
• Ability to multitask, prioritize and manage high volume tasks.
• Ability to exercise judgement and tact.

HOURLY PAY RANGE

$22.29 - $33.44

POST END DATE

Aug 1, 2026