Hospital Billing Representative

Hospital Billing Representative Daily Responsibilities:

  • Insurance Claims Processing – Generate and submit insurance claims to various third-party payers (private insurance companies, Medicare, Medicaid) electronically or through paper submissions.
  • Verify insurance eligibility and coverage for each patient prior to submitting claims.
  • Review claims for accuracy, completeness, and compliance with regulatory requirements.
  • Follow up on unpaid or rejected claims and resubmit as necessary.
  • Working out of a queue all day, or multiple queues.
  • Ideally this person has knowledge of insurance follow up/collections, this will help make them well rounded in for this opportunity
  • Utilize Epic EMR System daily.
  • Metrics: 100 claims per day, get edits from Epic, (activity acted on)
  • Need to have someone that can hit the ground running, limited training here.