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The specialist manages assigned accounts to ensure accurate billing, follow-up, and collection of reimbursements from third-party payers. They also resolve claim edits, denials, and underpayments while maintaining compliance with organizational and regulatory standards.
Job Duties:
The Hospital Billing Specialist is responsible for managing assigned accounts to ensure accurate and timely billing, follow-up, and collection of reimbursement from third party payers for services rendered in multi-specialty clinics. This position prepares and submits claims, researches and resolves claim edits, denials, underpayments, unpaid claims, and other reimbursement issues while maintaining compliance with CMS regulations, payer requirements, HIPAA, and organizational policies. The Hospital Billing Specialist monitors accounts receivable to promote timely payment, identifies and escalates reimbursement trends impacting revenue, processes insurance credit balances and refund requests in accordance with departmental policy, and provides billing and reimbursement assistance to patients and internal staff as needed.
Qualifications:
High School Diploma or equivalent required, associate's degree preferred. Post secondary education may substitute for years of experience. Two (2) years of experience in healthcare, medical office operations, insurance, customer service, banking, billing, collections, accounts receivable, or a related administrative role is preferred.
Shift Schedule:
Full-time; Monday–Friday, 8:00 a.m.–4:30 p.m.
Flexible scheduling available. Remote work may be an option following the training period and successful demonstration of billing competencies.
Benefits:
Medical | Dental | Vision
Flexible Spending | Health Savings
Basic Life and AD&D Insurance (paid by BCH)
Supplemental Life and AD&D Insurance
Disability Insurance (paid by BCH)
Retirement Savings Plans
401k discretionary contributions
Employee Assistance Program (paid by BCH)
Identity Theft Protection
Aflac Voluntary Benefits
Pharmacy special pricing
Paid Time Off | Extended Illness Bank | Bereavement
Wellness program | gym reimbursement
Onsite education classes
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