(Remote) Billing Support Specialist

Billing Representative – Remote Responsible for timely and accurate submission of hospitals’ primary, secondary, and tertiary patient bills to Medicare, Medicaid, Blue Cross, commercial, and other government insurance payors. Key Responsibilities Coordinate daily hospital billing, ensuring completion within controls and adherence to guidelines and standards. Maintain billing inventory for assigned clients and meet financial goals set by the company. Build and maintain strong, long‑lasting relationships with customers. Maintain working knowledge of all software applications related to billing claims to payors. Work claims generated on the late charge reports, rejected claims, claims in error, DDE claims, and shadow claims daily. Ensure facility rebills are worked and comments are logged on patient accounts within 7 business days. Communicate directly with Team Lead/Manager regarding issues impairing the billing process and tools for effective billing. Communicate with hospitals to retrieve information for rebills/corrected claims and with insurance payors to work claims not processed/paid. Employ a broad range of strategies—telephone calls, letters, meetings, faxing, emails, rebilling, and filing corrected claims—to resolve outstanding claims. Work in partnership with other teams/departments regarding resolution of billing/payor payment issues and concerns. Ensure timely and appropriate submission of billing/rebilling requests from customers and team members within the department. Continuously educate oneself on billing practices for private and government payors, including billing software applications. Assist in the training and education of new and existing employees. Maintain the effectiveness and implementation of the MEDHOST Quality Management System and meet applicable regulatory requirements. Follow QMS procedures as listed in the QMS Procedure Crosswalk found in the QMS Manual. Accurately input and submit worked time by required departmental deadlines. Maintain in‑depth knowledge of the MEDHOST core products and third‑party clearinghouses utilized for billing. Maintain industry knowledge through self‑study and attending training classes. Recommend documentation for the department and customers. Provide training and training documentation in areas of expertise necessary to assist team members and customers. Attend and participate in team and departmental meetings. Effectively respond to emails, telephone calls, voicemails, Microsoft Teams messages, and correspondence from facilities in a timely manner. Adhere to all HIPAA Privacy and Security requirements and responsibilities. Perform duties and responsibilities in a positive manner that upholds company policies and procedures. Required Qualifications and Experience Knowledge of computer applications or other automated systems such as Excel, Word, email, and database software. MEDHOST (HMS) knowledge is a plus. Proficiency in hospital billing, revenue cycle, and medical terminology. Thorough understanding of accounts receivable, collections, billing, appeals, and denials. Knowledge and understanding of Explanation of Benefits (EOB), state and federal guidelines required. Ability to navigate healthcare information system(s) and clearinghouse(s). Access to protected health information (PHI) in accordance with departmental assignments and guidelines. Skilled in making accurate arithmetic computations. Excellent verbal and written communication skills, good judgement, tact, initiative, and resourcefulness. Must be detail‑oriented, organized, and able to multi‑task. Ability to demonstrate supportive relationships with peers, clients, partners, and corporate executives. Must have a flexible “can‑do” attitude and remain professional under high‑pressure situations. High‑school or equivalency diploma required. Minimum 1 year of experience in a hospital billing/patient account receivable environment. Minimum 1 year of experience utilizing hospital claims management/billing software. Must be able to follow directions and perform work independently according to department standards. Computer skills in Microsoft Office applications (Word, Excel, PowerPoint, etc.) to complete assigned work. Customer‑service oriented. High‑speed internet access (minimum 300Mbps download speed) and unlimited data. Smartphone for Multi‑Factor Authentication (MFA) application. Legal Notice Harris is an Equal Opportunity/Affirmative Action Employer. We consider applicants without regard to race, color, religion, age, national origin, ancestry, ethnicity, gender, gender identity, gender expression, sexual orientation, marital status, veteran status, disability, genetic information, citizenship status, or membership in any other group protected by federal, state or local law. #J-18808-Ljbffr MediSolution