Billing Support Specialist

Role Description

MEDHOST, a division of Harris, is seeking a Billing Representative who is responsible for the timely and accurate submission of hospitals' primary, secondary, and tertiary patient bills to Medicare, Medicaid, Blue Cross, commercial, and other government insurance payors. This remote role welcomes candidates anywhere in the US. Preference will be given to candidates who can work in CST or EST timezone.

Wage: $18 - $26/hr

AI & Innovation Mindset: We are committed to leveraging emerging technologies to improve how we work, serve our customers, and drive business outcomes. The successful candidate will demonstrate curiosity and a willingness to actively adopt and leverage AI tools to improve workflows, solve problems, and increase efficiency.

• Coordinate hospital daily billing within controls to ensure billing is completed and abides by billing guidelines and standards as established by company and client.
• Ensure billing inventory for assigned clients is managed and financial goals are being met as set by the company.
• Build and maintain strong, long-lasting customer relationships.
• 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 logged on patient accounts within 7 business days.
• Communicate directly with Team Lead/Manager of issues impairing billing process and tools for effective billing.
• Verbal and written communication with hospitals to retrieve information for rebills/corrected claims and communicate with insurance payors to work claims not processed/paid.
• Work in partnership with other teams/departments regarding resolution of billing/payor payment issues and concerns.
• Timely and appropriate submission of billing/rebilling requests from customers and team members within the department.
• Continued education of billing practices for private and government payors, including billing software application(s).
• 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 as needed.
• Responsible for QMS procedures listed in QMS Procedure Crosswalk found in QMS Manual as applicable.
• Perform other duties as assigned.

Qualifications

• Knowledge of computer applications or other automated systems, such as Excel spreadsheets, Word, email, and database software in working assignments. MEDHOST (HMS) knowledge a plus.
• Knowledge of 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 protected health information (PHI) in accordance with departmental assignments and guidelines.
• Skilled in making accurate arithmetic computations.
• Excellent communication skills (verbal & written), good judgment, 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 be flexible with a "can do" attitude and have the ability to remain professional under high-pressure situations.
• High School or equivalency diploma required.
• Minimum 1 year of experience in a hospital billing/patient account receivable related environment.
• Minimum 1 year of experience utilizing hospital claims management/billing software.
• Must be able to follow directions and to perform work according to department standards independently.
• Computer skills in Microsoft Office applications (i.e., Word, Excel, PowerPoint, etc.) to complete work assigned.
• Customer Service oriented.
• High Speed Internet access (minimum 300 Mbps download speed) and unlimited data.
• Smartphone for Multi Factor Authentication (MFA) application.

Benefits

• 3 weeks’ vacation and 5 personal days
• Comprehensive Medical, Dental, and Vision benefits starting from your first day of employment
• Employee stock ownership and RRSP/401k matching programs
• Lifestyle rewards
• Remote work and more!