Medical Hospital Based Billing Specialist - Acute

Salem Regional Medical Center; Salem (OH); On-site; USD 42,000 - 62,000; Full time

Benefits offered by this job

Competitive wages

Medical insurance

Dental insurance

Vision insurance

Life insurance

403(b) retirement

Tuition reimbursement

Education reimbursement

Cafeteria discounts

Employee Assistance Program

Job summary

Salem Regional Medical Center in Salem, OH, is seeking a detail-oriented FT Medical Hospital Based Billing Specialist in the Patient Accounting department to optimize the hospital-based reimbursement cycle. You will own end-to-end institutional billing workflow, manage Medicare submissions, and address complex insurance denials within our EMR system.

The ideal candidate has 1–3 years hospital billing experience, strong CPT/ICD-10 knowledge, and proven ability to communicate with payers, meet

Qualifications

• Must have 1–3 years hospital-based billing experience.
• Strong understanding of EOBs, modifiers, and insurance processes.
• Knowledge of CPT4/ICD-10 coding.
• Ability to meet timely filing deadlines.
• Excellent written and verbal communication with payers.

Responsibilities

• Own end-to-end institutional billing workflow.
• Manage Medicare submissions and daily clearinghouse edits.
• Address complex insurance denials and strategic appeals.
• Utilize EMR system to optimize revenue cycle.
• Collaborate with hospital departments and payers.

Skills

Hospital billing

Medicare submissions

EOB understanding

CPT coding

ICD-10 coding

Payer communication

Multitasking

Education

High School Diploma

GED

Job description

SRMC Has an Exciting Opportunity for Qualified Candidates!

Position: FT Medical Hospital Based Billing Specialist - Acute

Department: Patient Accounting

Shift: Mon-Fri, 8 hr day shift

PURPOSE

Seeking a candidate who is highly analytical and detail oriented to optimize our hospital-based reimbursement cycle. You will own end-to-end institutional billing workflow; manage Medicare submissions, daily clearinghouse edits, and complex insurance denials within our EMR system. We are looking for a proactive professional dedicated to resolving account checks, executing strategic appeals, and accelerating payment collection to maintain our clinical network's financial health.

QUALIFICATIONS

• High School Diploma or GED required.
• 1-3 years hospital based billing experience.
• Complete understanding of EOBs, modifiers, Claims Adj/Reason Code Adj, Insurance processes & insurance website usage
• Must be comfortable navigating a high-volume workload and meeting timely filing deadlines
• Strong Computer skills.
• Knowledgeable in CPT and ICD-10 coding.
• Familiarity with medical terminology.
• Knowledge of additional specializedfunction may be required such as third party payers, hospital & physician billing processes, CPT4/ICD10 code application
• Ability to communicate with various insurance payers and other hospital departments.
• Experience in filing claim appeals with insurance companies to ensure maximum reimbursement.
• Responsible use of confidential information.
• Strong written, verbal, and argumentative skills when dealing with insurance carriers.
• Ability to multi-task.

BENEFITS

• Competitive wages
• Medical/prescription insurance
• Dental insurance
• Vision insurance
• Accident and critical insurance
• Employer paid life insurance
• 403 (b) retirement with employer matching
• Tuition reimbursement
• Continuing education reimbursement
• Cafeteria discounts
• Employee Assistance Program