Remote Hospital Billing Representative

Position: (Remote) Hospital Billing Representative
## (Remote) Hospital Billing Representative Postulerlocations:
Tennessee, United States:
Minnesota, United States:
Texas, United States:
Wisconsin, United States:
Illinois, United Statestime type:
Temps pleinposted on:
Publié aujourd'huijob requisition :
R0044888

MEDHOST, a division of Harris; is seeking a Hospital Billing Representative who will support front end hospital billing and clean claim submission for insurance payers, including Medicare, Medicaid, Blue Cross, commercial payers, and other government entities.

This position is focused on front end hospital billing. The successful candidate will be responsible for reviewing, correcting, and submitting hospital claims through billing clearinghouses and payer systems. Candidates must have hands on experience with initial claim submission, claim edit resolution, clearinghouse workflows, and clean claim processing.

This is not an accounts receivable, collections, denial management, payment posting, patient balance follow up, or backend account follow up role. Candidates whose experience is primarily focused on AR aging, denied claims, unpaid claims, appeals, underpayment recovery, EOB review, payment posting, refunds, or patient collections will not be aligned with this position.
** This remote role welcomes candidates anywhere in the US. Preference will be given to candidates who can work in CST timezone.
**** This position is focused on hospital FRONT billing and revenue cycle operations. Hospital billing experience including Medicare (DDE) is required for consideration. Candidates must have experience and a strong working knowledge of billing clearinghouses.
**** Wage:****$18-$28/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. Candidates should be comfortable using AI enabled technologies, including copilots, chat based AI assistants, and automation tools, as part of their everyday work while maintaining appropriate judgment, security, and compliance standards.
** What your impact will be:
*** Coordinate daily front end hospital billing activities to ensure claims are reviewed, corrected, and submitted accurately to insurance payers.
* Submit initial hospital claims through billing clearinghouses and payer systems.
* Review and resolve front end claim edits before claims are released to payers.
* Correct billing issues related to diagnosis codes, procedure codes, charge codes, payer requirements, demographics, authorization details, or claim formatting.
* Work claim edit queues, rejected claim files, DDE claims, late charge claims, rebills, corrected claims, and shadow claims as assigned.
* Maintain a high clean claim rate by ensuring claims meet payer billing guidelines before submission.
* Use hospital billing software and third party clearinghouses to process and monitor claims at the submission stage.
* Maintain working knowledge of all software applications related to hospital billing and claims submission.
* Ensure facility rebills are worked and comments are logged on patient accounts within 7 business days.
* Communicate issues impairing the billing process to the Team Lead or Manager.
* Communicate with hospitals, internal teams, and payers when additional information is needed to correct and submit claims.
* Partner with other teams and departments to resolve billing, payer, clearinghouse, or claim submission issues.
* Submit billing and rebilling requests from customers and team members in a timely manner.
* Stay current with billing practices for private and government payers, including billing software applications and clearinghouse requirements.
* 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.
* Accurately input and submit worked time by departmental deadlines.
* Maintain in depth knowledge of MEDHOST core products and…