Healthcare Billing Lead - Claims & AR Expert

CommonSpirit Health; Rancho Cordova (CA); On-site; USD 30,000 - 39,000; Full time

Job summary

CommonSpirit Health is seeking a Billing Rep to support patients and providers in streamlining the billing and insurance process, enabling focus on patient care and financial well-being.

As a Billing Rep, you will review and process patient accounts, insurance claims, and payment postings with accuracy and timeliness. You will follow up on denied claims and safeguard patient confidentiality while applying healthcare billing knowledge.

Qualifications

• Requires 5 years in healthcare Rev Cycle or a professional medical office.
• One year of experience with IDX Practice Management System.
• Knowledge of physician billing regulations.
• Understanding of professional claims and billing procedures; knowledge of government and insurance regulations.
• Excellent written and verbal communication skills.
• Must demonstrate judgment, initiative, and resourcefulness when dealing with internal and external customers.
• Demonstrated ability to provide leadership to others.

Responsibilities

• Review and process patient accounts, insurance claims, and payment postings to ensure accurate and timely billing.
• Follow up on denied claims and maintain patient confidentiality.
• Analyze accounts receivable, payer denial trends, and identify training needs for staff.
• Research and resolve complex issues with payors and ensure compliance with workflows.
• Maintain audit scores and meet turnaround times.
• Collaborate with A/R Billing Supervisor to resolve discrepancies identified in audits.

Skills

Attention to detail

Healthcare billing knowledge

Communication skills

Leadership

Problem solving

Education

High School Diploma or GED

Tools

IDX Practice Management System

Job description

CommonSpirit Health is seeking a Billing Rep to support patients and providers in streamlining the billing and insurance process, enabling focus on patient care and financial well-being.

As a Billing Rep, you will review and process patient accounts, insurance claims, and payment postings with accuracy and timeliness. You will follow up on denied claims and safeguard patient confidentiality while applying healthcare billing knowledge.