Billing Rep (Revenue Cycle), On Campus

Job Summary The Billing Representative submits hospital or professional claims to Payers. This includes Medicare, Medicaid, Managed Medicare, Managed Medicaid, Managed Care, Commercial, Workers Compensation, and Champus/Tricare. Work Model 100% on campus, Monday through Friday, daytime hours. Essential Functions Of The Role Perform code and demographic audits on paper and electronic claims. Use the billing scrubber, payer edits, and custom edits for accuracy. Communicate specific problems or concerns to Manager as appropriate. Review electronic claims transmission reports. Resolve ECS rejections by correcting them in the 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. Benefits Immediate eligibility for health and welfare benefits 401(k) savings plan with dollar‑for‑dollar match up to 5% Tuition Reimbursement PTO accrual beginning Day 1 Note: Benefits may vary based upon position type and/or level. Qualifications EDUCATION: H.S. Diploma/GED Equivalent EXPERIENCE: Less than 1 Year of Experience Workers Comp claims experience a plus. EPIC (Resolute HB or PB) knowledge Identifying and resolving claim denials #J-18808-Ljbffr Baylor Scott & White Health