Hospital Billing Specialist - Remote

Overview

Under general supervision, the Hospital Billing and Follow-Up Specialist handles essential billing and insurance follow-up functions. This role requires a fundamental understanding of insurance claim processing, knowledge of UB and HCFA claim forms, and the ability to interpret insurance explanation of benefits (EOBs), handle denials, and perform follow-up with insurers to ensure claims resolution. The position encompasses business office responsibilities related to patient accounts, including charge import, diagnostics and procedural coding, and claim follow-up with third-party payers to achieve a zero-balance resolution.

In Short

• Promote the mission, vision, and values of the organization
• Import charges from queues in a timely manner
• Review daily accounts ready to be billed
• Initiate corrections on claims with errors
• Cross train on billing for different payers
• Follow-up on correspondence related to claims
• Responsible for resubmission of claims
• Communicate with third-party representatives for claims processing
• Maintain accounts receivable detail
• Participate in educational activities and staff meetings

Requirements

• High School Diploma or GED
• Six months previous experience in hospital registration, billing, and collections preferred
• Knowledge of medical terminology preferred
• Basic computer proficiency
• Typing speed: minimum 40 WPM
• Familiarity with CPT and ICD-9 coding is helpful
• Good written and verbal communication skills

Benefits

• Possibility of remote work after 6 months
• Opportunity for professional development
• Supportive work environment