Billing Representative

Essentia Health; United States; Remote; USD 25,000 - 36,000; Full time

Benefits offered by this job

Medical, dental, vision insurance

Life and disability insurance

401(k) plan with employer contribution

Tuition reimbursement

Flexible scheduling

Generous time off

Wellness resources

Job summary

Essentia Health is seeking a billing professional to process paper and electronic claims with complete information to facilitate timely payment. You will maximize reimbursement, manage work queues, and ensure accurate submissions in the patient accounting system.

The role involves reviewing payer requirements, researching regulatory changes, and collaborating with internal and external stakeholders to improve billing operations and training. Remote/hybrid options may apply where available.

Qualifications

• 1 year of healthcare billing/revenue services experience.
• Familiarity with HIPAA and regulatory changes related to billing.
• Strong customer service and communication skills.

Responsibilities

• Process paper and electronic claims with complete information to ensure payment.
• Submit claims to payers and maximize reimbursement.
• Work assigned queues and perform claim scrubber edits before submission.
• Research payer rules and communicate changes affecting billing operations.

Skills

Healthcare billing

Revenue cycle

Education

Medical certification or degree

Job description

Building Location: Fargo Distribution Serv Center Department: 1006800 HOSPITAL BILLING - EH SS

Job 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 degree Licensure/Certification Qualifications:

Work Information

FTE: 1

Possible Remote/Hybrid Option: Remote

Shift Rotation: Shift Start Time: 8:00 AM Shift End Time: 5:00 PM Weekends: Holidays: No Call Obligation: No Union: Union Posting Deadline:

Compensation Range:

$17.63 - $26.45

Employee Benefits at Essentia Health:

• medical, dental, vision, life, and disability insurance
• supplemental options to fit your needs
• 401(k) plan with employer contributions to help you plan for the future
• training, tuition reimbursement, and educational programs
• flexible scheduling
• generous time off
• wellness resources focused on your physical, mental, and emotional health

At Essentia Health, we’re committed to supporting your well-being, growth, and work-life balance. Please note that benefit eligibility may vary. For full details, refer to your benefit summary or contact our HR Service Center at [phone].

Essentia Health seeks employees who embrace our commitment to patient- and family-centered care in communities both large and small.

We're looking for people who are committed to making patients and their families feel known and understood. People who understand what it means to be Here with you. People who are willing to use their strengths to help others.

Our Values Quality | Hospitality | Respect | Joy | Justice | Stewardship | Teamwork

Equal Opportunity

Essentia Health is an Equal Opportunity/Affirmative Action Employer. Essentia Health does not discriminate in employment because of age, color, creed, culture, disability (physical or mental), ethnicity, familial status, gender identity or expression, genetic information, language, local Human Rights Commission activity, national origin, military service, race, religion, sex, sexual orientation, socioeconomic status, or public assistance status.

Post-Offer Screening

Job offers are contingent upon successful completion of post-offer screenings. Screenings includes verification of your legal right to work in the United States, a health screening and immunization review, verification of applicable licensure, certifications, education, and experience, and background checks including criminal, urine drug screen and MVR where required.