Remote Hospital Billing & Revenue Specialist II

Community Health System Services LLC; United States; Remote; USD 30,000 - 38,000; Full time

Benefits offered by this job

Remote work

Job summary

Xtensys Connected Health Solutions is seeking a Hospital Biller II to drive revenue cycle performance by managing complex hospital billing activities, resolving payer issues, and reducing delays through advanced claim analysis.

You will act as a subject-matter resource within the billing team, resolving complex edits, denials, and billing exceptions while collaborating with coding, provider offices, credentialing, and revenue cycle partners.

Qualifications

• Advanced knowledge of hospital billing, claims processing, denial management, and reimbursement methodologies.
• Strong understanding of CPT, HCPCS, ICD-10-CM, and payer billing requirements.
• Familiarity with electronic claim submission and billing work queues.
• Strong attention to detail and organizational skills.
• Ability to analyze claim errors and identify appropriate corrective actions.
• Strong problem-solving, critical-thinking, and analytical skills.
• Excellent organization and communication skills.
• Proficiency in Microsoft Office applications.
• Ability to train team members while maintaining productivity standards.
• Proficiency with Epic Hospital Billing preferred.

Responsibilities

• Review and validate hospital claims to ensure accuracy, completeness, and compliance, supporting high clean-claim and first-pass acceptance rates.
• Submit compliant, error-free claims electronically to government, commercial, and managed care payers to accelerate reimbursement and reduce denials.
• Complete billing of hospital services within required timeframes to maintain timely revenue capture and prevent aging delays.
• Rebill corrected claims quickly and accurately to minimize payment delays and ensure proper reimbursement.
• Prioritize and manage assigned work queues efficiently to maintain steady claim throughput and prevent backlogs.
• Performs analysis of recurring denial and rejection trends and recommends corrective actions to reduce further recurrence.
• Provides peer support and workflow guidance to less experienced team members.
• Analyze and resolve claim rejections and front-end edits to reduce rework, improve payer acceptance, and strengthen revenue cycle performance.
• Escalate complex billing or payer issues appropriately to support timely resolution and prevent prolonged claim aging.
• Collaborate with registration, credentialing, and provider offices to obtain missing or corrected information, ensuring claims meet payer requirements.
• Communicate effectively with internal departments to streamline claim resolution and support cross-functional workflow efficiency.
• Maintain strict compliance with federal, state, payer, and organizational billing guidelines to reduce audit risk and ensure regulatory adherence.
• Protect patient information by following HIPAA and organizational privacy standards, ensuring secure handling of all PHI.
• Maintain comprehensive documentation of claim activity, payer communications, appeal actions, and resolutions.
• Meet or exceed productivity, quality, denial resolution, and account aging performance standards.
• Utilize critical thinking and payer knowledge to identify trends, address recurring claim issues, and support continuous improvement in billing performance.
• Participate in departmental meetings, training, and process improvement initiatives to enhance skills, support operational improvements, and stay current with regulatory changes.

Skills

Hospital billing

CPT and HCPCS

ICD-10-CM

Payer billing requirements

Epic Hospital Billing

Microsoft Office

Claim error analysis

Education

Associate degree preferred

HS Diploma with 2 years related experience

Tools

Epic Hospital Billing

Microsoft Office

Job description

Xtensys Connected Health Solutions is seeking a Hospital Biller II to drive revenue cycle performance by managing complex hospital billing activities, resolving payer issues, and reducing delays through advanced claim analysis.

You will act as a subject-matter resource within the billing team, resolving complex edits, denials, and billing exceptions while collaborating with coding, provider offices, credentialing, and revenue cycle partners.