Remote Billing Specialist I – Patient Claims & AR

Andrews Institute; Pensacola, Northern (FL, KY); Hybrid; USD 33,000 - 42,000; Full time

Job summary

Baptist Health Care is seeking a Hospital Billing Representative I to support the Accounts Receivables reconciliation process. You will examine and update patient health information, submit claims electronically, scrub denials, and communicate with payers and physician offices to ensure timely, accurate billing.

This role emphasizes professionalism across departments to optimize cash collection. Responsibilities include verifying eligibility, resolving inquiries, and maintaining documentation

Qualifications

• High School Diploma or equivalent required.
• 6 months revenue cycle experience required.

Responsibilities

• Maintains responsibility for the billing process for patient accounts including but not limited to: examining, correcting and consistently updating patient health insurance claims to ensure prompt insurance payment/follow-up.
• Resolves patient and insurance carrier inquiries related to billing for the revenue cycle.
• Uses on-line systems provided by multiple payers to verify eligibility and benefits and checking claim status appropriately.
• Makes telephone calls to the payer to inquire about denial trends in billing to ensure claims are sent “clean”.
• Maintains appropriate/consistent documentation on accounts worked within the patient accounting systems.
• Reviews memos on accounts within patient accounting systems for all reprinted or rebilled claims to ensure any necessary updates/changes are made before submission to the payer.
• Identifies non-payment trends by payer and notifies systems coordinators and management in order to change billing tables to bill accurately or to adjust off timely, to reduce number of A/R days.

Skills

Revenue Cycle Experience

Education

High School Diploma or Equivalent

Job description

Baptist Health Care is seeking a Hospital Billing Representative I to support the Accounts Receivables reconciliation process. You will examine and update patient health information, submit claims electronically, scrub denials, and communicate with payers and physician offices to ensure timely, accurate billing.

This role emphasizes professionalism across departments to optimize cash collection. Responsibilities include verifying eligibility, resolving inquiries, and maintaining documentation