Medical Biller – Remote – US CPSI (TruBridge)

Effizotech; Mobile (AL); Remote; USD 40,000 - 55,000; Full time

Job summary

A leading company is seeking a Billing & Posting Resolution Representative to manage hospital payment postings and ensure accuracy in receipt handling. The role requires strong communication and organizational skills, with responsibilities including verifying receipts, posting payments, and maintaining logs. Join a team that values work/life balance and offers robust benefits.

Benefits

401(k)

Generous paid time off

10 paid holidays annually

Employer-paid short-term disability

Life insurance

Paid parental leave

Qualifications

• At least 3 years of hospital payment posting experience.
• Experience with hospital billing and any payer.

Responsibilities

• Receiving and verifying daily receipts for deposit.
• Posting payments to appropriate accounts and maintaining logs.
• Processing rejections and correcting billing errors.

Skills

Communication

Organizational Skills

Time Management

Detail-oriented

Multi-tasking

Education

CPT and ICD-10 coding

Job description

Job Description

The Billing & Posting Resolution Representative position is responsible for acting as a liaison for hospitals and clinics using TruBridge Accounts Receivable Management Services. They work closely with TruBridge management and hospital employees in receiving, preparing, and posting receipts for hospital services while ensuring the accuracy of receipt posting, contractual allowances, and other remittance amounts. Candidates must be detail-oriented with excellent verbal and written communication skills, organizational skills, and time management skills.

Essential Functions

In addition to working as prescribed in our Performance Factors, specific responsibilities of this role include:

• Receiving daily receipts that have been balanced and stamped for deposit and verifying receipt totals.
• Researching receipts that are not clearly marked for posting.
• Posting payments to the appropriate account and making notes required for follow-up.
• Posting zero payments to the appropriate account and making notes required for follow-up.
• Maintaining a log of daily receipts and contractual postings.
• Processing rejections by making accounts private or correcting billing errors and resubmitting claims to third-party insurance carriers.
• Consistently meeting production and quality assurance standards.
• Maintaining quality customer service by following company policies and procedures, as well as those specific to each customer.
• Updating job knowledge by participating in company-offered education opportunities.
• Protecting customer information by keeping all information confidential.
• Processing miscellaneous paperwork.
• Working with high-profile customers with complex processes.
• Assisting with team projects as needed.
• Having at least 3 years of hospital payment posting experience, including outside TruBridge.
• Displaying a detailed understanding of CAS codes.
• Posting denials to patient accounts with the correct denial reason code.
• Posting patient payments, electronic insurance payments, and manual insurance payments.
• Balancing all payments and contractual postings daily.
• Ensuring postings balance to the site’s bank deposit.
• Adhering to site-specific productivity requirements outlined by management.
• Serving as a resource for other receipting service specialists.
• Being agile and able to easily shift between tasks.
• Working overtime as needed to ensure the day/month are fully balanced and closed.
• Assisting with backlog receipting projects, such as unresolved situations in Thrive, credit account research, and reconciling unapplied payments.

Minimum Requirements

Education/Experience/Certification Requirements

• Familiarity with payment posting.
• Experience with hospital billing and any payer.
• Experience in CPT and ICD-10 coding.
• Familiarity with medical terminology.
• Ability to communicate effectively with various insurance payers.
• Experience in filing claim appeals to maximize reimbursement.
• Responsible use of confidential information.
• Strong written and verbal communication skills.
• Ability to multi-task.

Preferred Qualifications

• Experience with Hospital Billing and California Medicaid.
• Experience with Medicare.

Why Join Our Team?

If you join us, you will receive:

• Remote work with a focus on work/life balance.
• Robust benefits, including 401(k).
• Generous paid time off.
• 10 paid holidays annually.
• Employer-paid short-term disability and life insurance.
• Paid parental leave.