Billing Representative

Essentia Health; North Dakota; Remote; USD 24,000 - 36,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

401(k) plan

Tuition reimbursement

Flexible scheduling

Generous time off

Job summary

Essentia Health is seeking a Hospital Billing Specialist to process claims and optimize reimbursement from payers. You will handle both paper and electronic submissions, ensure accuracy, and minimize denials across assigned queues.

You will stay current on payer policies and HIPAA changes, collaborating with insurance, credentialing, and managed care teams to improve revenue cycle performance. Remote/hybrid options may apply depending on location.

Qualifications

• 1 year of healthcare billing experience preferred.
• Certification or degree in medical billing or coding preferred.

Responsibilities

• Process paper and electronic claims with complete information to maximize reimbursement.
• Work assigned work queues in the patient accounting system and perform claim edits before submission.
• Research payer policies and regulatory changes affecting billing and communicate recommendations to improve processes.

Skills

Healthcare billing

Revenue cycle

Coding

Education

Medical billing certification

Job description

Building Location:Fargo Distribution Serv CenterDepartment:1006800 HOSPITAL BILLING - EH SSJob Description:Processes paper and electronic claims to payers with full and complete information to satisfy and facilitate the claim for payment. Produces accurate and timely claims in order to prevent denials and maximize reimbursement. Responsible for working assigned work queues within the patient accounting system and claim scrubber edits prior to final submission. Responsible for optimizing the claim submission operations including prospectively reviewing submissions and making corrections to expedite first time payment to the extent possible. He/ she is also responsible for research and communication of payer, HIPAA or other regulatory changes affecting the billing of health insurance claims and making recommendations regarding billing and system operations to improve payment turnaround. This position works closely with insurance companies, credentialing, access and managed care and other internal and external stakeholders tied to the billing system. Makes recommendations regarding system changes to improve the revenue cycle process and quality, and works to assist in the development of training. Position requires 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.Education Qualifications:Preferred Qualifications:1 year of healthcare experience in healthcare billing, revenue services, or coding- medical certification or degreeLicensure/Certification Qualifications:FTE:1Possible Remote/Hybrid Option:RemoteShift Rotation:Shift Start Time:8:00 AMShift End Time:5:00 PMWeekends:Holidays:NoCall Obligation:NoUnion:Union Posting Deadline:Compensation Range:$17.63 - $26.45Employee Benefits at Essentia Health: At Essentia Health, we’re committed to supporting your well-being, growth, and work-life balance. Our comprehensive benefits include medical, dental, vision, life, and disability insurance, along with supplemental options to fit your needs. We offer a 401(k) plan with employer contributions to help you plan for the future, and we invest in your professional development through training, tuition reimbursement, and educational programs. To help you thrive both at work and at home, we provide flexible scheduling, generous time off, and wellness resources focused on your physical, mental, and emotional health. Please note that benefit eligibility may vary. For full details, refer to your benefit summary or contact our HR Service Center at [phone].