Billing Representative

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

Benefits offered by this job

Remote or hybrid option

Job summary

Essentia Health is seeking a hospital billing professional to process claims and support the revenue cycle from their Fargo area location. You will work electronic and paper submissions, resolve claim issues, and strive for timely first‑pass payments while keeping patient and payer records accurate.

The role includes coordinating with payers, credentialing, access and managed care teams, and staying current on HIPAA and regulatory changes.

Qualifications

• 1 year of healthcare billing, revenue services, or coding experience preferred.
• Medical certification or degree preferred.

Responsibilities

• Process paper and electronic claims with full information to maximize reimbursement.
• Handle assigned work queues and claim edits to prevent denials.
• Communicate payer, HIPAA, or regulatory changes affecting billing and payments.
• Collaborate with insurance companies, credentialing, access and managed care teams.
• Recommend system changes to improve revenue cycle and training development.

Education

Healthcare billing experience or medical certification/degree

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:0.4Possible Remote/Hybrid Option:RemoteShift Rotation:Shift Start Time:Shift End Time:Weekends: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].