<p>We are looking for an experienced Billing Representative to join a remote team. In this role, you will play a vital part in ensuring accurate and timely billing processes, contributing to the financial stability of the organization. This is a short-term contract position offering the opportunity to collaborate with a diverse team while advancing your career in the healthcare industry.</p><p><br></p><p>Responsibilities:</p><ul><li>Prepare, review, submit, and resubmit professional and facility claims to Medicare, Medicare Advantage (Managed Care), Medicaid, Medicaid Managed Care, and other commercial and third-party payers in accordance with payer-specific billing guidelines.</li><li>Analyze claim denials, rejections, and underpayments; identify errors; implement corrective actions; and route issues to appropriate internal departments to ensure timely and accurate resolution.</li><li>Perform root cause analysis of claim rejections and denials, track trends by payer, service line, and billed services, and provide feedback to support process improvement.</li><li>Collaborate with clinical, coding, registration, and other internal and external departments to validate demographic, insurance, authorization, and coding accuracy, including updates related to CPT, HCPCS, and ICD-10 changes.</li><li>Accurately document claim research, resolution actions, and follow-up steps within billing and account management systems.</li><li>Maintain strict compliance with hospital policies, federal and state regulations, payer requirements, and HIPAA privacy standards at all times.</li><li>Meet or exceed established productivity and performance metrics by effectively managing assigned work queues and daily workloads.</li><li>Meet or exceed quality standards by ensuring claims are submitted clean, accurate, and complete.</li><li>Respond promptly and professionally to billing-related inquiries and email requests to support timely account resolution.</li><li>Perform additional revenue cycle and billing-related duties as assigned.</li></ul>
<p> </p><p>We are looking for an experienced Billing Representative to join our team. In this role, you will play a vital part in ensuring accurate and timely billing processes, contributing to the financial stability of the organization. This is a short-term contract position offering the opportunity to collaborate with a diverse team while advancing your career in the healthcare industry.</p><p> </p><p>Responsibilities:</p><p>• Prepare and submit claims to various insurance payers, including Medicare, Medicaid, and commercial providers, ensuring accuracy and compliance.</p><p>• Investigate rejected claims, identify root causes, and implement corrective actions to resolve issues efficiently.</p><p>• Monitor and analyze claim rejection trends to improve processes and reduce recurrence across payers and service areas.</p><p>• Coordinate with internal teams and external entities to validate billing information and implement necessary coding updates.</p><p>• Maintain detailed records of claim investigations, resolutions, and follow-up activities to ensure transparency and accountability.</p><p>• Adhere to organizational compliance standards and industry regulations in all billing activities.</p><p>• Achieve or exceed daily production and quality metrics by managing worklists effectively.</p><p>• Participate in additional assigned tasks and responsibilities as needed to support departmental goals.</p>
