Harris Computer · 7 hours ago
Billing Representative
Tennessee, United States
Full-time
Hybrid
Entry Level
1+ years expMEDHOST, founded in 1984 and headquartered in Franklin, Tennessee, is a leading provider of healthcare information technology solutions. The Billing Representative is responsible for the timely and accurate submission of patient bills to various insurance payors, managing billing processes, and maintaining customer relationships to ensure financial goals are met.
Responsibilities
Coordinate daily hospital billing within established controls to ensure adherence to billing guidelines and standards
Manage billing inventory for assigned clients and meet financial goals
Build and maintain strong customer relationships
Maintain working knowledge of all software applications related to billing claims
Process claims generated on late charge reports, rejected claims, claims in error, DDE claims, and shadow claims daily
Ensure facility Rebills are worked and comments logged on patient accounts within 7 business days
Communicate issues impairing the billing process to the Team Lead/Manager
Communicate with hospitals to retrieve information for rebills/corrected claims
Communicate with insurance payors to work claims not processed/paid, utilizing various strategies such as phone calls, letters, meetings, faxing, and emails
Partner with other teams/departments to resolve billing/payor payment issues
Submit billing/rebilling requests from customers and team members in a timely manner
Stay current with billing practices for private and government payors, including billing software applications
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
Perform other duties as assigned
Accurately input/submit worked time by departmental deadlines
Maintain in-depth knowledge of MEDHOST core products and third-party clearinghouses
Maintain industry knowledge through self-study and training
Recommend department and customer documentation
Provide training and training documentation in areas of expertise
Attend and participate in team and departmental meetings
Respond to emails, telephone calls, voicemails, Microsoft Teams messages, and correspondence from facilities in a timely manner
Adhere to all HIPAA Privacy and Security requirements
Perform duties in a positive manner that upholds company policies and procedures
Qualification
Required
High School or equivalency diploma required
Minimum 1 year of experience in a hospital billing/patient account receivable related environment
Minimum 1 year of experience utilizing hospital claims management/billing software
Ability to follow directions and perform work according to department standards independently
Computer skills in Microsoft Office applications (Word, Excel, PowerPoint, etc.)
Customer Service oriented
High Speed Internet access (minimum 300 Mbps download speed) and unlimited data
Smart phone for Multi Factor Authentication (MFA) application
Preferred
MEDHOST (HMS) knowledge is a plus
Knowledge of hospital billing, revenue cycle, and medical terminology
Thorough understanding of accounts receivable, collections, billing, appeals, and denials
Knowledge and understanding of Explanation of Benefits (EOB), state, and federal guidelines
Ability to navigate healthcare information system(s) and clearinghouse(s)
Ability to access protected health information (PHI) in accordance with departmental assignments and guidelines
Skilled in making accurate arithmetic computations
Excellent communication skills (verbal & written), good judgment, tact, initiative, and resourcefulness
Detail-oriented, organized, and able to multi-task
Ability to demonstrate supportive relationships with peers, clients, partners, and corporate executives
Flexible with a “can do” attitude and ability to remain professional under high-pressure situations
Benefits
3 weeks' vacation and 5 personal days
Comprehensive medical, dental, and vision benefits starting from your first day
Employee stock ownership and RRSP/401k matching programs
Lifestyle rewards
Remote work and more
Company
Harris Computer
Harris provides mission-critical software solutions for the Public Sector, Healthcare, Utilities, and Private Sector verticals throughout North America, Europe, Asia, and Australia.
10001+ employees
Funding
Current Stage
Late StageLeadership Team
Scott Thomas
Group Leader/CEO - Novum Group, Harris Healthcare (Constellation Software TSX:CSU)
Diane Gibson, SHRM-CP
Human Resources Business Partner
Company data provided by crunchbase