Billing Rep II

Billing Rep II

Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation's largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 158 hospital-based locations, in addition to its home-based services and virtual care offerings.

As our Billing Rep, you will help our patients and providers streamline the billing and insurance process so they can focus on patient care and financial well-being. Every day you will review and process patient accounts, insurance claims, and payment postings. You will be expected to ensure accurate and timely billing, follow up on denied claims, and maintain patient confidentiality. To be successful in this role, you must have strong attention to detail, knowledge of medical billing and coding, and experience with healthcare insurance.

Demonstrate a solid understanding of your role as an Accounts Receivable Representative II: Read & interpret invoice details, Patient registration in IDX, Rejection posting in IDX, Knowledge of medical records systems, Ability to navigate Insurance payer web sites, Read & interpret EOB's from various insurance carriers, FSC knowledge, Rules of FSC Flipping, Rules of Charge Corrections, Understanding of claim edits.

Resolve claim edits

Ability to manage multiple expectations, tasks and deadlines effectively.

Timely review of electronic communication to stay informed of changes that affect your position.

Research and analyze account thoroughly to determine appropriate action(s) to be taken.

Proactively organize and manage case load to ensure follow through on claims that did not reach resolution at time of initial processing.

Required: High School Diploma or GED, 3 years experience working in healthcare Rev Cycle or a Professional Medical Office, Knowledge of physician billing regulations, Understanding of professional claims and billing procedures, Knowledge of Federal and State regulations applicable to Government and Insurance Collections, Excellent written and verbal communication skills, Working knowledge of computers and demonstrated proficiency in using e-mail systems, Internet and MS office software applications with emphasis in Word and Excel.

Preferred: Associates in Healthcare Administration or related field, 5 years experience working in healthcare Rev Cycle or a Professional Medical Office, 1 year experience with IDX Practice management system and Cerner EHR, Knowledge of Google Suite.