Billing Representative

at  Medhost

The Billing Representative is responsible for timely and accurate submission of bills to Medicare, Medicaid, Blue Cross, and commercial insurance companies. In addition, the role is responsible for the submission of secondary and tertiary billing.
Coordinates hospital daily billing within controls to ensure all billing is completed and abides by billing techniques and standards as established by hospital/MEDHOST Business Services.
Ensure billing inventory for all assigned clients is managed and financial goals are being met as set by the company.
Build and maintain strong, long-lasting customer relationships.
Maintains working knowledge of all software applications related to billing claims to payors.
Work claims generated on the late charge reports, rejected claims, claims in error, DDE claims, and ghost claims daily.
Ensure facility Rebills are worked and comments logged on patient accounts within 7 business days.
Communicate directly with Team Lead/Manager of any issues impairing the billing process and communicates required tools for effective billing.
Verbal and written communication with hospitals to retrieve information for rebills/corrected claims and communicate with insurance payers to work claims not processed/paid. Working outstanding claims may require a broad range of strategies including phone calls, letters, in-person meetings, faxing, emails, rebilling, and filing corrected claims.
Work in partnership with other teams/departments regarding resolution of billing/payer payment issues and concerns.
Timely and appropriate processing of billing/rebilling requests from customers and team members within the department.
Continued education of billing practices for private and government payers; including billing software application(s).
Assist in the training and education of new and existing employees.
Performs other duties as assigned.

KNOWLEDGE, SKILLS, AND ABILITIES:

Knowledge of computer applications or other automated systems, such as excel spreadsheets, word, email, and data base software in working assignments. MEDHOST (HMS) knowledge a plus.
Knowledge of hospital billing and revenue cycle terminology.
Access protected health information (PHI) in accordance with departmental assignments and guidelines
Skilled in making accurate arithmetic computations.
Display excellent communication skills (verbal & written), good judgment, tact, initiative, and resourcefulness
Thorough understanding of accounts receivable, collections, billing, appeals, and denials
Must be detail oriented, organized, and able to multi-task
Ability to demonstrate supportive relationships with peers, clients, partners, and corporate executives
Must be flexible with a can do attitude and have the ability to remain professional under high pressure situations

TRAINING AND EXPERIENCE:

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.
Must be able to follow directions and perform work according to department standards independently.
Computer skills in Microsoft Office applications (i.e., Word, Excel, PowerPoint, etc.) to complete work assigned
Must be emotionally mature and able to function effectively under stress.
Customer Service oriented.

OTHER REQUIREMENTS:

High Speed Internet access and unlimited data
Smart phone for DUO authentication
Negative pre-employment drug tests
Criminal and MVR backgrounds meet our company hiring criteria

Accurately input/submit worked time by the required departmental deadlines.
Recommend department and customer documentation.
Provide training and training documentation in areas of expertise necessary to assist team members and customers.
Maintain in-depth knowledge of the MEDHOST core products utilized for billing.
Maintain industry knowledge through self-study and attending MEDHOST training classes.
Attend and participate in team and departmental meetings.
Responds to email and phone communications timely.
HIPAA and Security requirements and guidelines are adhered to at all times.
Complete duties as assigned.