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TruBridge · 5 hours ago

Billing & Posting Representative

United States

Full-time

Remote

New Grad, Entry Level

TruBridge is a company focused on healthcare solutions, and they are seeking a Billing & Posting Representative. This role is responsible for accurate and timely billing of hospital and Rural Health Clinic claims to commercial insurance payers, with a strong emphasis on denial management and reimbursement optimization.

Hospital & Health Care

Responsibilities

Prepare, review, and submit hospital and RHC claims to commercial insurance carriers

Ensure correct use of CPT, HCPCS, ICD-10, revenue codes, modifiers, and RHC-specific billing requirements

Verify charges, units, dates of service, provider credentials, and place of service

Submit corrected, adjusted, and late charges as needed

Analyze and resolve billing denials, rejections, and underpayments

Identify root causes of denials (coding, authorization, eligibility, medical necessity, bundling, timely filing, etc.)

Prepare and submit corrected claims and formal appeals with appropriate documentation

Track denial trends and recommend process improvements to reduce future denials

Conduct timely follow-up with commercial payers on unpaid, underpaid, or delayed claims

Communicate with insurance representatives to obtain claim status and resolution

Maintain detailed notes and documentation in the billing system for all follow-up activity

Meet productivity and follow-up benchmarks to ensure timely reimbursement

Ensure compliance with payer guidelines, hospital policies, and RHC billing regulations

Work closely with coding, registration, authorization, and clinical staff to resolve billing issues

Stay current on commercial payer policy updates and RHC billing changes

Qualification

Commercial insurance billingDenial resolutionCPTICD-10-CMHCPCSClaim management systemsAnalytical skillsFollow-up skillsHigh-volume workload managementOrganizational skillsAttention to detail

Required

Knowledge of hospital and RHC billing processes

Strong experience with commercial insurance billing and denial resolution

Proficiency in CPT, ICD-10-CM, HCPCS, and modifiers

Familiarity with payer portals and claim management systems

Strong analytical, organizational, and follow-up skills

Ability to manage high-volume workloads with attention to detail

Company

TruBridge

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TruBridge is a healthcare solutions company with focus on EHR-agnostic Revenue Cycle Management solutions for organizations of all sizes and acute EHR technology to service smaller hospitals.

Founded in 1979