Billing Representative

Main Line Health; Pennsylvania; On-site; USD 25,000 - 39,000; Full time

Benefits offered by this job

Paid time off

Employee discounts

Free parking

Employee referral bonus

Job summary

Main Line Health is seeking a Billing Representative at Riddle Hospital to support accurate and timely claims billing using Epic Resolute. You will handle daily edits, submit insurance claims, and ensure documentation aligns with policies.

The role requires healthcare billing experience, Excel proficiency, and knowledge of billing regulations and insurance contracts. It is a full-time, on-site position with opportunities for career growth.

Qualifications

• Minimum of one year healthcare billing experience and/or accounts receivable experience.
• 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

• Bill third-party payer claims using the Epic Resolute module accurately and timely.
• Review and resolve daily system edits and clearinghouse edits; resolve CBO Charge Review and Claim edits.
• Prepare and submit insurance claims with documentation through electronic and/or manual processes.
• Participate in regularly scheduled department meetings and stay updated on payer contracts and billing regulations.

Skills

Healthcare billing

Accounts receivable

Insurance contracts

Medical terminology

Revenue codes

Billing regulations

Education

High School Diploma

Tools

Epic Resolute

Excel

Job description

Could you be our next Billing Representative at Riddle Hospital?

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 workqueue 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

• 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.

All positions are eligible for an employee referral bonus. The amount varies and is outlined on Wellspring. To be paid for the referral, employees must share the job link with their referral and the candidate must use the link to complete an application. The employee referral program details can be found on Wellspring.

Pay Range: $18.37 – $28.47