Billing Representative

Essentia Health; Remote; USD 40,000 - 60,000; Full time

Job summary

A leading healthcare provider is seeking a Remote Billing Representative. The successful candidate will process claims, enhance customer service, and collaborate with insurance companies. Requirements include 1 year of healthcare billing experience. The role offers full-time hours with a comprehensive benefits package.

Qualifications

• Minimum of 1 year of experience in healthcare billing or revenue services.
• Strong customer service skills to foster positive relationships.
• Ability to research regulatory changes affecting billing.

Responsibilities

• Process paper and electronic claims for payment.
• Produce accurate claims to minimize denials.
• Optimize claim submission operations for faster payments.
• Research regulatory changes and recommend improvements.
• Collaborate with insurance companies and internal stakeholders.
• Enhance the revenue cycle process through system recommendations.

Skills

Healthcare billing knowledge

Customer service skills

Problem-solving skills

Job description

Job Description

Essentia Health has an opportunity for a Remote Billing Representative. This position is full time and includes our comprehensive benefits package.

Responsibilities

• Process paper and electronic claims to payers with full and complete information to satisfy and facilitate the claim for payment.
• Produce accurate and timely claims in order to prevent denials and maximize reimbursement.
• Work assigned work queues within the patient accounting system and claim scrubber edits prior to final submission.
• Optimize the claim submission operations including prospectively reviewing submissions and making corrections to expedite first time payment to the extent possible.
• Research and communicate payer, HIPAA or other regulatory changes affecting the billing of health insurance claims and make recommendations regarding billing and system operations to improve payment turnaround.
• Work closely with insurance companies, credentialing, access and managed care and other internal and external stakeholders tied to the billing system.
• Make recommendations regarding system changes to improve the revenue cycle process and quality, and assist in development of training.
• Provide high level of customer service skills to establish and enhance positive relationships with patients, colleagues, and others.
• Depending upon location responsibilities may vary and may include a variety of duties of similar scope and responsibility.

Experience

1 year healthcare experience in healthcare billing/revenue services

Education

None

Licensure/Certification

None