Hospital Billing Representative

🕒 August 14

🎸 Tennessee – Remote

🎸 Tennessee – Remote

💵 $18 - $28 / hour

⏰ Full Time

🟢 Junior

📊 Billing Specialist

🚫👨‍🎓 No degree required

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

Harris Computer

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1993

🏥 Healthcare

💼 Consulting

📦 Logistics

Healthcare • Consulting • Logistics

Harris Computer is a company that provides mission-critical software solutions across various industries, including the public sector, healthcare, utilities, and private sector verticals. They focus on acquiring businesses with growth potential, managing them effectively, and building them for future success. Harris Computer serves over 100,000 customers with a global presence in North America, Europe, Asia, and Australia, employing over 12,000 people. Their mission is to empower customers to deliver on their goals by offering tailored software and services.

📋 Description

• Coordinate daily front end hospital billing activities to ensure claims are reviewed, corrected, and submitted accurately to insurance payers • Submit initial hospital claims through billing clearinghouses and payer systems • Review and resolve front end claim edits before claims are released to payers • Correct billing issues related to diagnosis codes, procedure codes, charge codes, payer requirements, demographics, authorization details, or claim formatting • Work claim edit queues, rejected claim files, DDE claims, late charge claims, rebills, corrected claims, and shadow claims as assigned • Maintain a high clean claim rate by ensuring claims meet payer billing guidelines before submission • Use hospital billing software and third party clearinghouses to process and monitor claims at the submission stage • Maintain working knowledge of software applications related to hospital billing and claims submission • Ensure facility rebills are worked and comments are logged on patient accounts within 7 business days • Communicate issues impairing the billing process to the Team Lead or Manager • Communicate with hospitals, internal teams, and payers when additional information is needed • Partner with other teams and departments to resolve billing, payer, clearinghouse, or claim submission issues • Submit billing and rebilling requests from customers and team members in a timely manner • Stay current with billing practices for private and government payers, billing software, and clearinghouse requirements • Assist in training and education of employees • Maintain the MEDHOST Quality Management System and meet applicable regulatory requirements • Accurately input and 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 team and departmental meetings • Respond to emails, telephone calls, voicemails, Microsoft Teams messages, and facility correspondence in a timely manner • Adhere to HIPAA Privacy and Security requirements • Perform duties in accordance with company policies and procedures • Perform other duties as assigned

🎯 Requirements

• High School diploma or equivalent required • Minimum 1 year of front end hospital billing experience required • Minimum 1 year of experience submitting hospital claims through billing clearinghouses required • Minimum 1 year of experience utilizing hospital claims management or billing software required • Experience resolving front end claim edits before payer adjudication required • Experience working with hospital billing systems, claim edit queues, clearinghouse platforms, and payer submission workflows required • Working knowledge of institutional hospital claims, payer billing requirements, clean claim submission, rebills, corrected claims, late charges, DDE claims, and claim edit resolution • Ability to clearly explain prior experience with clearinghouses such as SSI, Availity, Waystar, Change Healthcare, TrueBridge, or Quadax • Ability to identify claim errors before submission and take appropriate corrective action • Ability to follow billing standards, department procedures, and payer guidelines independently • Strong attention to detail and ability to manage billing inventory accurately • Computer skills in Microsoft Office applications, including Word, Excel, PowerPoint, and Outlook • Customer service orientation with the ability to support internal teams, facilities, and customers professionally • High speed internet access with minimum 300 Mbps download speed and unlimited data • Smart phone for Multi Factor Authentication application • MEDHOST or HMS knowledge • Experience maintaining a strong clean claim rate • Experience submitting Medicare, Medicaid, Blue Cross, commercial, and government payer claims • Experience working claim edit queues within a hospital billing environment • Experience with UB04, 837I, DDE, rebills, corrected claims, late charges, and clearinghouse edits • Knowledge of hospital billing, revenue cycle, and medical terminology • Ability to navigate healthcare information systems and clearinghouses • Ability to access protected health information in accordance with departmental assignments and guidelines • Skilled in making accurate arithmetic computations • Excellent verbal and written communication skills, good judgment, tact, initiative, and resourcefulness • Detail oriented, organized, and able to manage multiple priorities • 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 of employment • Employee stock ownership • RRSP/401k matching programs • Lifestyle rewards • Remote work