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.
