Patient Accounts Billing Representative

HorseShoe Beverage Company; Cambridge (MA); On-site; USD 42,000 - 63,000; Full time

Job summary

HorseShoe Beverage Company is seeking a dedicated Patient Financial Services billing specialist to manage insurance billing and receivables. This full-time, on-site role is based in Cambridge, NE, and focuses on accurate claims processing and timely payments.

You will download claims daily, reconcile with payer data, review EOBs/denials, use billing software, and follow up on unpaid or denied claims while maintaining compliance and confidentiality.

Qualifications

• High School diploma or GED required.
• 1-2 years of medical billing experience preferred.
• Strong attention to detail and accuracy in claims processing.

Responsibilities

• Download and submit electronic and paper claims daily.
• Reconcile submitted claims with payer acknowledgments and address discrepancies.
• Review EOBs and denials and perform follow-up.
• Operate billing software to prepare reports and invoices.
• Follow up on insurance claims and rebill when necessary.

Skills

Medical billing

Claims processing

Denial management

Attention to detail

Communication

Education

High School/G.E.D

Tools

Billing software

Payer portals

Job description

• Location 1305 OLD US HWY 6,Cambridge, NE, 69022,United States
• Job Category Patient Financial Services
• Employee Type Full Time

Description

Essential Functions:

• Integrity
  o Daily download claims and submit or print electronic and paper claims.
  o Daily reconcile submitted claims reports with payer acknowledgment accepted claims reports and
  follow up on any discrepancies
  o Daily review EOB’s, denial, zero pays, and perform any follow up.
  o Operate office equipment, such as voice mail messaging systems, and use word processing,
  spreadsheet, or other software applications to prepare reports, invoices, financial statements,
  letters, case histories, or medical records.
  o Complete insurance or other claim forms.
• Attention to Detail
  o Timely monitor denial management and follow up.
• Dependability
  o Regular and Reliable Attendance.
  o Performs follow up on all assigned collection quest in a timely manner and rebill insurance when
  necessary.
  
• Independence
  o Perform insurance claim follow up utilizing payer websites, phone or correspondence to ensure
  timely payment.
  o Utilizing billing software claim scrubber to ensure accurate claim information and correct any
  edits.
  o Transmit correspondence or medical records by mail, e-mail, or fax.
• Concern for Others
  o Answer telephones and direct calls to appropriate staff.
  
• Compliance
  o Promotes and adhears to the provisions of the compliance program.
  o Communicates the mission, ethics and goals of the facility.
  o Complies with all organizational policies regarding ethical business practice
  o Promotes and adheres to the TVHS core values and Standards of Behavior
  

Requirements

Education and Experience:

• High School/G.E.D
• 1-2 years of medical experience preferred

Summary

Non-Exempt, FT day position (Not a remote position)

General Summary: Responsible for all insurance billing and recovery of assigned receivables. Utilizes all systems available and takes responsibility for accuracy and compliance of work performed.