Billing Rep II

Job Summary & Responsibilities 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 EOBs 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 Job Requirements Required High School Diploma or GED Three (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 Associate’s or other degree in Healthcare Administration or related field Five (5) years experience working in healthcare Rev Cycle or a Professional Medical Office One (1) year experience with IDX Practice management system and Cerner EHR Knowledge of physician billing regulations Understanding of professional claims and billing procedures Knowledge of Google Suite #J-18808-Ljbffr CommonSpirit Health