Billing Representative (1.0 FTE) - Remote
About the position
The position involves processing paper and electronic claims to payers, ensuring that all necessary information is complete to facilitate payment. The role focuses on producing accurate and timely claims to prevent denials and maximize reimbursement, while also optimizing claim submission operations. The individual will work closely with various stakeholders, including insurance companies and internal departments, to improve the revenue cycle process and enhance customer service relationships.
Responsibilities
• Process paper and electronic claims to payers with complete information.
• Produce accurate and timely claims to prevent denials and maximize reimbursement.
• Work on assigned work queues within the patient accounting system and claim scrubber edits prior to final submission.
• Optimize claim submission operations by reviewing submissions and making necessary corrections.
• Research and communicate payer, HIPAA, or regulatory changes affecting billing.
• Make recommendations regarding billing and system operations to improve payment turnaround.
• Collaborate with insurance companies, credentialing, access, managed care, and other stakeholders.
• Assist in the development of training related to billing and revenue cycle processes.
Requirements
• 1 year of healthcare experience in healthcare billing/revenue services preferred.
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