Hospital Billing Representative

Job Description

Job Description

This position is internally referred to as PFS (Patient Financial Services) Billing Representative. 

As part of the Patient Financial Services team, you will help protect the financial stability of the hospital by ensuring timely and accurate follow-up on insurance claims. The work performed helps reduce outstanding balances, resolve insurance-related issues, and support overall revenue cycle performance. This role requires strong attention to detail, analytical thinking, and a commitment to professionalism and patient confidentiality.

Key Responsibilities

• Follow up on outstanding insurance claims to ensure timely reimbursement
• Contact insurance companies to verify claim status and resolve payment issues
• Review denied claims and identify root causes of denials
• Prepare and submit appeals with complete and accurate documentation
• Document all follow-up actions clearly within the billing system
• Collaborate with coding and billing teams to correct claim errors
• Monitor aging reports and prioritize high-value or time-sensitive accounts
• Ensure compliance with HIPAA regulations and payer guidelines
• Support continuous improvement initiatives within the revenue cycle department
• Perform other duties as assigned within the Patient Financial Services team