Billing Representative - Hybrid Remote

2600 White Plains Hospital Medical Center; Nevada (IA); Remote; USD 47,000 - 67,000; Full time

Job summary

White Plains Hospital Medical Center is seeking a Patient Accounts Billing Representative to ensure accurate billing and timely claim resolution. You will process accounts for third-party carriers, rebill when needed, and follow up on aged accounts to optimize cash flow.

Responsibilities include editing claims in the HIS system, handling refunds, and maintaining compliance with billing regulations. Onboarding includes PFS training; 8 AM-4 PM shifts; MON-FRI workdays.

Qualifications

• High School required with 1–3 years clerical and business aptitude; 1–2 years hospital experience preferred
• Medical terminology knowledge required or preferred (less than 1 year)
• Clerical experience preferred (medium proficiency)
• Basic computer skills (medium proficiency)
• Onboarding includes Patient Financial Svcs training (HBI Learning)

Responsibilities

• Review unbilled claims and bills to assure timely billing and claim resolution
• Process accounts to minimize billing time and maximize cash flow
• Edit and rebill in the HIS system; handle third-party rejections
• Follow up on aged accounts and respond to inquiries from patients or carriers
• Enter corrections and perform refunds as needed

Skills

Clerical aptitude

Medical terminology

Basic computer skills

Hospital experience

Onboarding training

Education

High School diploma or equivalent

Tools

HIS system

Job description

Location & Compensation

City/State: White Plains, New York

Department: Admitting Work

Shift: Day

Work Days: MON-FRI

Scheduled Hours: 8 AM-4 PM

Hours Per Pay Period: 75

Pay Rate/Range: $27.61 - $41.42

Job Summary

The Patient Accounts Billing Representative is responsible for review of unbilled claims and bills, assure timely billing and claim resolution to expedite payment. Process all accounts in order to minimize billing time and maximize cash flow. Completes the editing of claims in the HIS system. Completes the processing of claims either on paper or electronically to third party carriers. Completes follow-up on aged accounts as directed. Review trial balance reports and processed late charges.

Essential Functions

• Understands and adheres to the WPH Performance Standards, Policies and Behaviors
• Insure adherence to federal and state billing regulations
• Completes accurate billing to all third-party insurance carriers
• Monitors host system and biller scrubber to insure timely resolution of unbilled accounts
• Completes review of third-party trial balance reports within the current month
• Researches and initiates refunds to patients or insurance carriers as needed
• Sends inquiries to patients regarding inaccurate or incomplete information
• Completes charge adjustments and allowances entries on accounts as needed
• Recodes accounts by insurance carrier and plan number and enters into the HIS for re-billing purposes
• Processes rejections on third party accounts
• Reviews mail correspondence and responds accordingly
• Review on-line billing edits for errors, corrections, or missing information.
• Enter necessary corrections into HIS
• Assists with telephone calls as needed
• Completes rebilling process for late charges daily
• Monitors host system and bill scrubber for billing delays and to expedite processing
• Performs all other related duties as assigned

Qualifications

• High School Required 1-3 years Clerical and business aptitude with 1-2 years of Hospital experience required
• Required less than 1 year Medical terminology
• Preferred Clerical experience required (Medium proficiency)
• Basic Computer skills (Medium proficiency)
• Patient Financial Svcs Spec - HBI Learning Must be completed during onboarding process
• Upon Hire

EEO and Company Information

White Plains Hospital Medical Center is an equal employment opportunity employer. White Plains Hospital Medical Center will recruit, hire, train, transfer, promote, layoff and discharge associates in all job classifications without regard to their race, color, religion, creed, national origin, alienage or citizenship status, age, gender, actual or presumed disability, history of disability, sexual orientation, gender identity, gender expression, genetic predisposition or carrier status, pregnancy, military status, marital status, or partnership status, or any other characteristic protected by law.

White Plains Hospital is a proud member of the Montefiore Health System, serving as its tertiary hub of advanced care in the Hudson Valley. The Hospital is a 292-bed not-for-profit health care organization with the primary mission of providing exceptional acute and preventive medical care to all people who live in, work in or visit Westchester County and its surrounding areas.

White Plains Hospital has outpatient medical facilities across Westchester, including multispecialty practices in Armonk, Hawthorne, Larchmont, New Rochelle, Rye Brook, Scarsdale, Somers, Yonkers and Yorktown Heights; and Scarsdale Medical Group locations in Harrison and Scarsdale.

White Plains Hospital is fully accredited by the Joint Commission, and in 2025 received another 5-star rating from the Centers for Medicare & Medicaid Services (CMS) — the highest distinction offered by the federal agency – for the fourth consecutive year.

In addition, the Hospital received its third Magnet® designation from the American Nurses Credentialing Center (ANCC), a distinction held by only two percent of hospitals in the country.

White Plains Hospital has consistently received the Outstanding Patient Experience Award from Healthgrades®, and in 2025 was awarded an “A” Safety Grade from the Leapfrog Group for the 14th consecutive time.