Billing Representative
About The Position
The Billing Representative plays a critical role in healthcare by ensuring accurate and timely processing of patient billing and insurance claims. The position manages billing inquiries, resolves discrepancies, and maintains detailed records to support financial operations. It collaborates with healthcare providers, insurance companies, and patients to facilitate billing cycles and revenue collection. The role helps minimize billing errors and improve payment turnaround times while supporting patient satisfaction through clear, professional communication about billing matters. The position requires experience in medical billing, coding, or a related healthcare administrative role; familiarity with billing software and EHR systems; knowledge of insurance policies, billing regulations, and HIPAA compliance; and strong communication and customer service skills. A high school diploma or equivalent is required. An associate degree or higher in healthcare administration or a related field is preferred.
Requirements
- High school diploma or equivalent.
- Proven experience in medical billing, coding, or a related administrative role within the healthcare industry.
- Familiarity with healthcare billing software and electronic health record (EHR) systems.
- Strong understanding of insurance policies, billing regulations, and HIPAA compliance.
- Excellent communication and customer service skills for interacting with patients and insurance representatives.
- Strong attention to detail and organizational skills.
- Analytical skills to identify and resolve billing discrepancies.
Nice To Haves
- Associate degree or higher in healthcare administration or a related field.
- Certification in medical billing or coding, such as Certified Professional Biller or Certified Coding Specialist.
- Experience working with multiple insurance providers and government healthcare programs such as Medicare and Medicaid.
- Proficiency in advanced billing software and data management tools.
- Ability to analyze billing data and generate reports to support financial decision-making.
- Additional training or coursework in healthcare finance or medical office management.
Responsibilities
- Prepare and submit accurate patient bills and insurance claims in compliance with healthcare regulations and organizational policies.
- Review and verify patient information, insurance coverage, and billing codes before processing.
- Respond promptly to patient and insurance inquiries regarding billing statements, payments, and account status.
- Investigate and resolve billing discrepancies, denials, and unpaid claims by coordinating with internal departments and external payers.
- Maintain organized and confidential records of billing transactions, payments, and communications.
- Collaborate with healthcare providers and administrative staff to update billing information and improve billing processes.
- Monitor accounts receivable and follow up on outstanding payments to support cash flow management.
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What This Job Offers
Job Type
Full-time
Education Level
High school or GED
