Parkland Health · 11 hours ago
Billing Representative
Parkland Health is a healthcare organization seeking a Billing Representative to prepare, verify, correct, and submit insurance claims. The role involves ensuring the accuracy and timely processing of claims to maintain the financial viability of the hospital system.
CommunitiesHealth CareHospitalMedicalNon ProfitWellness
Responsibilities
Reviews claims for accuracy, performs required edits, and submits claims and rebills to payors daily in manual and/or electronic format to ensure accurate and timely filing of claims and prompt payment
Reports all recurring rejected claims to management for evaluation of impact on the timely filing of claims
Reviews the Missing Element report and notifies Medical Records of impending filing deadlines to ensure all efforts are made to receive proper diagnosis codes in a timely manner
Requests additional information from patients, insurance carriers, clerical staff, and other Parkland departments to make corrections to claims
Documents all actions taken on accounts in the system account notes to ensure all prior actions are noted and understandable by others
Informs the Supervisor of any problems or changes in payor requirements. Exercises independent judgment to analyze and report repetitive edit failures so that corrective actions can be taken
Tracks productivity and provides cumulative reports on a daily, weekly or monthly basis, as required by supervisor and/or manager
Maintains a positive working relationship with contacts at all agencies, patients, insurance companies, government entities, clinical personnel, other Parkland staff and management, to promote teamwork, cooperation, and a positive public image for Parkland. Serves as a positive role model for staff and patients and demonstrates strong interpersonal skills. Accepts constructive criticism and integrates suggestions in effective ways
Identifies ways to improve work processes and improve customer satisfaction. Makes recommendations to supervisor, implements, and monitors results as appropriate in support of the overall goals of the department and Parkland
Stays abreast of the latest developments, advancements, and trends in the field by attending seminars/workshops, reading professional journals, actively participating in professional organizations, and/or maintaining certification or licensure. Integrates knowledge gained into current work practices
Maintains knowledge of applicable rules, regulations, policies, laws and guidelines that impact the area. Develops effective internal controls designed to promote adherence with applicable laws, accreditation agency requirements, and federal, state, and private health plans. Seeks advice and guidance as needed to ensure proper understanding
Qualification
Required
Must have a High School diploma or GED
Must have three (3) years experience in a hospital or business office to include two (2) years of experience in medical billing
May have an equivalent combination of education and/or experience in lieu of specific education and/or experience as stated above
Must possess strong analytical skills to ensure accurate and timely completion of assigned tasks
Must have basic knowledge of HCFA 1500 and UB-92 billing and various payor billing requirements
Must have basic understanding of CPT and ICD-9 coding
Must be able to demonstrate a working knowledge of personal computers and other standard office equipment
Must have a working knowledge of medical software
Must be detail oriented, possess basic mathematical skills, and have sharp analytical skills to resolve financial issues as they relate to multiple groups including third party payors, physicians, patients and Parkland
Must demonstrate a positive demeanor, good verbal and written communication skills, and be professional in both appearance and approach
Must be able to handle potentially stressful situations and multiple tasks simultaneously including correcting billing errors and ensuring that daily paper claims are processed
Must be able to solve problems within the guidelines of established policies and procedures
Must be able to process at least 150 claims per day to all third party payors
Preferred
Basic medical terminology knowledge preferred
Bilingual skills preferred
Company
Parkland Health
Parkland Health first opened its doors in 1894 and is now one of the largest public hospital systems in the country.
H1B Sponsorship
Parkland Health has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (2)
2024 (2)
2022 (2)
Funding
Current Stage
Late StageLeadership Team
Frederick Cerise
President and Chief Executive Officer
Richard Humphrey
Executive Vice President and Chief Financial Officer
Recent News
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