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Essentia Health · 5 hours ago

Billing Representative

United States

Full-time

Remote

Entry Level

$17.45/hr - $26.18/hr

1+ years exp

Essentia Health is seeking a Remote Billing Representative to join their team. The role involves processing claims, ensuring timely submissions, and optimizing billing operations while maintaining high customer service standards.

Health CareHospitalNon Profit

Responsibilities

Process paper and electronic claims to payers with full and complete information to satisfy and facilitate the claim for payment

Produce accurate and timely claims in order to prevent denials and maximize reimbursement

Responsible for working assigned work queues within the patient accounting system and claim scrubber edits prior to final submission

Responsible for optimizing the claim submission operations including prospectively reviewing submissions and making corrections to expedite first time payment to the extent possible

He/ she is also responsible for research and communication of payer, HIPAA or other regulatory changes affecting the billing of health insurance claims and making recommendations regarding billing and system operations to improve payment turnaround

This position works closely with insurance companies, credentialing, access and managed care and other internal and external stakeholders tied to the billing system

Makes recommendations regarding system changes to improve the revenue cycle process and quality, and works to assist in the development of training

Position requires high level of customer service skills to establish and enhance positive relationships with patients, colleagues, and others

Depending upon location responsibilities may vary and may include a variety of duties of similar scope and responsibility