Billing Rep Rev Cycle

Billing Representative

100% Onsite Role Possible extension after 6 months Payrate - $16 / hr Bill rate: $23.56 / hr

JOB SUMMARY

The Billing Representative is responsible for the timely submission of hospital or professional claims to Payers including but not limited to Medicare, Medicaid, Managed Medicare, Managed Medicaid, Managed Care, Commercial, Workers Compensation and Champus/Tricare.

In office position 8 hours daily M-F. Must have dependable transportation.

Must have attention to detail and excellent organizational skills. Must be able to work independently eventually.

Will need a basic level of computer skills and able to learn quickly.

Position will be for paper processing of claims and medical records for billing. Could include other job duties as needed.

ESSENTIAL FUNCTIONS OF THE ROLE

• Perform code and demographic audits on paper and electronic claims for accuracy utilizing the billing scrubber, payer edits and custom edits.
• Communicate specific problems or concerns to Manager as appropriate.
• Review electronic claims transmission reports and resolves electronic claims submission (ECS) rejections by making corrections in system, and resubmitting for payment.
• Request or post charge corrections and appropriate credit and debit adjustments to patient accounts.
• Correct patient demographic information when new/correct information is received.
• Review claims for accuracy and completeness and obtain any missing information.
• Work rejected claims utilizing compliant and ethical billing practices.
• Identify and bill secondary or tertiary insurances as needed.
• Performs other duties as assigned or requested.

KEY SUCCESS FACTORS

The information contained in this job description is intended to describe the essential job functions required of those assigned to this job. It is not intended to be an exhaustive list of all responsibilities, duties, knowledge, skills, and abilities needed to perform the job. Please note that management retains the right to assign or reassign duties and responsibilities to this job at any time. The ability to competently perform all the essential duties of the position, with or without reasonable accommodation, demonstrated commitment to effective customer service delivery, integrity, and the ability to work productively as a member of a team or work group are basic requirements of all positions at Baylor Scott & White Health.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.