Medical Hospital Based Billing Specialist - Acute

About the role

Seeking a candidate who is highly analytical and detail oriented to optimize our hospital-based reimbursement cycle. You will own end-to-end institutional billing workflow; manage Medicare submissions, daily clearinghouse edits, and complex insurance denials within our EMR system. We are looking for a proactive professional dedicated to resolving account checks, executing strategic appeals, and accelerating payment collection to maintain our clinical network's financial health.

Qualifications

• High School Diploma or GED required.
• 1-3 years hospital based billing experience.
• Complete understanding of EOBs, modifiers, Claims Adj/Reason Code Adj, Insurance processes & insurance website usage.
• Must be comfortable navigating a high-volume workload and meeting timely filing deadlines.
• Strong computer skills.
• Knowledgeable in CPT and ICD-10 coding.
• Familiarity with medical terminology.
• Knowledge of additional specialized function may be required such as third party payers, hospital & physician billing processes, CPT4/ICD10 code application.
• Ability to communicate with various insurance payers and other hospital departments.
• Experience in filing claim appeals with insurance companies to ensure maximum reimbursement.
• Responsible use of confidential information.
• Strong written, verbal, and argumentative skills when dealing with insurance carriers.
• Ability to multi-task.

Benefits

• Competitive wages
• Medical/prescription insurance
• Dental insurance
• Vision insurance
• Accident and critical insurance
• Employer paid life insurance
• 403 (b) retirement with employer matching
• Tuition reimbursement
• Continuing education reimbursement
• Cafeteria discounts
• Employee Assistance Program

Schedule

Mon-Fri, 8 hr day shift