Billing Representative

About Us Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Benefits Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: 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. 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. 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. Belonging Statement We believe that all people should feel welcomed, valued and supported. QUALIFICATIONS EDUCATION - H.S. Diploma/GED Equivalent EXPERIENCE - Less than 1 Year of Experience As a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products. We are an equal opportunity employer committed to ensuring a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law. #J-18808-Ljbffr