Billing Representative

Main Line Health; Lower Merion Township (Montgomery County); On-site; USD 26,000 - 40,000; Full time

Benefits offered by this job

Tuition Reimbursement

Paid Time Off

Employee Discounts

Free Employee Parking

Job summary

Main Line Health is seeking a Billing Representative at Lankenau Medical Center to accurately bill third-party payer claims using the Epic Resolute module and manage daily edits and claim submissions.

The position requires at least one year of healthcare billing experience, intermediate Excel skills, and familiarity with insurance contracts, HCPCS/CPT/ICD-10 codes, and revenue codes. Tuition reimbursement is available, plus PTO and free employee parking.

Qualifications

• Minimum of one year healthcare billing experience and/or accounts receivable experience utilizing automated patient accounting systems (Epic Resolute desirable) preferred.
• MS Office applications experience including intermediate Excel proficiency required.
• Knowledge of insurance contracts, billing regulations and medical terminology preferred.
• Knowledge of HCPCS/CPT/ICD-10 and revenue codes preferred.

Responsibilities

• Submit insurance claims with required documentation through electronic and/or manual processes in accordance with established guidelines and policies.
• Review and resolve daily system edits and clearinghouse edits.
• Resolve CBO Charge Review and Claim edits; manage Epic Resolute work queue processing.

Skills

Healthcare billing experience

Excel proficiency

Insurance contracts knowledge

HCPCS/CPT/ICD-10 knowledge

Medical terminology knowledge

Education

High School Diploma

Tools

Epic Resolute

Job description

Could you be our next Billing Representative at Lankenau Medical Center?

Why work as a Billing Representative with Main Line Health?

• Make an Impact! As a Billing Representative, you will play an integral role in the success of Main Line Health by ensuring third party payer claims are billed via the Epic Resolute module in an accurate and timely manner. Using your attention to detail, you will be responsible for reviewing and resolving daily system edits and clearinghouse edits, as well as resolving CBO Charge Review and Claim edits. Using Epic Resolute Claims work queue processing, you will prepare and submit insurance claims with all required documentation through electronic and/or manual processes in accordance with established guidelines and policies. The work you do makes a tremendous impact!

• Develop and Grow your Career! Invest in furthering your education through seeking certifications or advanced degrees by taking advantage of our Tuition Reimbursement! This position is eligible for up to $6,000 per year based upon your Full or Part Time status.

• Get Involved! Collaboration at its finest! You will be actively participating in regularly scheduled department meetings providing insight into daily work responsibilities and current trends/issues. You will also remain up‑to‑date on departmental procedures, payer contracts and insurance billing regulations.

• Join the Team! Like our patients, the Main Line Health Family encompasses a wide range of backgrounds and abilities. Just as each of our patients requires a personalized care plan, each of our employees, physicians, and volunteers, bring distinctive talents to Main Line Health. Regardless of our unique design, we all share a purpose: providing superior service and care.

• Position‑Specific Benefits include: You are eligible for up to 120 hours of paid time off per year based on your Full or Part Time status. We also offer a number of employee discounts to various activities, services, and vendors And employee parking is always free!

Position:Billing Representative

Shift:Full-Time Day Schedule, 100% On‑Site

Experience:

1. Minimum of one year healthcare billing experience and/or accounts receivable experience utilizing automated patient accounting systems (Epic Resolute desirable) preferred.

2. MS Office applications experience including intermediate Excel proficiency required.

3. Knowledge of insurance contracts, billing regulations and medical terminology preferred.

4. Knowledge of HCPCS/CPT/ICD-10 and revenue codes preferred.

Education:

High School Diploma / GED required.

Licensures/Certifications:

Certified Revenue Cycle Specialist (CRCS)/American Association of Healthcare Administrative Management (AAHAM), or Certified Revenue Cycle Representative (CRCR)/Healthcare Financial Management Association desirable.

Additional Information

• Requisition ID: 82606
• Employee Status: Regular
• Schedule: Full-time
• Shift: Day Job
• Pay Range: $18.70 – $28.98
• Job Grade: 205