Remote Billing & Coding Specialist - Revenue Cycle

Straith Hospital; Southfield (MI); On-site; USD 42,000 - 64,000; Full time

Benefits offered by this job

Medical benefits

Dental benefits

Vision benefits

Retirement plan

PSLF eligibility

Job summary

Straith Hospital in Southfield, MI is seeking a Billing Representative to support the Revenue Cycle with billing, coding and collections responsibilities. The role reports to the Revenue Cycle Manager and offers a remote work option.

The team collaborates with leadership to ensure accurate claim processing and timely payments. The ideal candidate has at least two years of billing experience and a formal credential as a Certified Coder, with experience in professional (1500) billing and UB-04

Qualifications

• Minimum two years billings experience.
• Certified Coder.
• Experience with professional (1500) billing and facility billing (UB-04) a plus.

Responsibilities

• Coding of all claims, including professional, anesthesia and facility;
• Working all error and hold claims, as designed by supervisor, while maintaining an acceptable level of claims within the designed bucket system;
• Identify and report trends related to error, hold and denial claims;
• Know and understand acceptable levels of reimbursement based on CPT code and insurance company;
• Have the ability to calculate self-pay rates;
• Work all collections accounts as necessary and per Hospital Policy;
• Initiate claims against estates by monitoring deaths and unpaid accounts; informing legal department to act on probate and estate issues; following up with clerk of court;
• Set up and maintain patient payment plans;
• Know and understand Hospital's Financial Assistance Policy;
• Answer all patient or insurance inquiries pertaining to assigned accounts;
• Willingness to learn and understand additional revenue cycle tasks;
• Versatility within the work environment;

Skills

Billing experience

CPT/HCPCS coding

Collections

UB-04 familiarity

Education

Certified Coder

Job description

Straith Hospital in Southfield, MI is seeking a Billing Representative to support the Revenue Cycle with billing, coding and collections responsibilities. The role reports to the Revenue Cycle Manager and offers a remote work option.

The team collaborates with leadership to ensure accurate claim processing and timely payments. The ideal candidate has at least two years of billing experience and a formal credential as a Certified Coder, with experience in professional (1500) billing and UB-04