Billing Representative

Main Line Health • Media, PA

1d • Onsite

About The Position

As a Billing Representative, you will play an integral role in the success of Main Line Health by ensuring third party payer claims are billed via the Epic Resolute module in an accurate and timely manner. Using your attention to detail, you will be responsible for reviewing and resolving daily system edits and clearinghouse edits, as well as resolving CBO Charge Review and Claim edits. Using Epic Resolute Claims workqueue processing, you will prepare and submit insurance claims with all required documentation through electronic and/or manual processes in accordance with established guidelines and policies. The work you do makes a tremendous impact! You will be actively participating in regularly scheduled department meetings providing insight into daily work responsibilities and current trends/issues. You will also remain up-to-date on departmental procedures, payer contracts and insurance billing regulations.

Requirements

• Minimum of one year healthcare billing experience and/or accounts receivable experience utilizing automated patient accounting systems (Epic Resolute desirable) preferred.
• MS Office applications experience including intermediate Excel proficiency required.
• Knowledge of insurance contracts, billing regulations and medical terminology preferred.
• Knowledge of HCPCS/CPT/ICD-10 and revenue codes preferred.
• High School Diploma / GED required.

Nice To Haves

• Epic Resolute experience
• Knowledge of insurance contracts, billing regulations and medical terminology
• Knowledge of HCPCS/CPT/ICD-10 and revenue codes
• Certified Revenue Cycle Specialist (CRCS)/American Association of Healthcare Administrative Management (AAHAM), or Certified Revenue Cycle Representative (CRCR)/Healthcare Financial Management Association desirable.

Responsibilities

• Ensure third party payer claims are billed via the Epic Resolute module in an accurate and timely manner.
• Review and resolve daily system edits and clearinghouse edits.
• Resolve CBO Charge Review and Claim edits.
• Prepare and submit insurance claims with all required documentation through electronic and/or manual processes in accordance with established guidelines and policies.
• Participate in regularly scheduled department meetings providing insight into daily work responsibilities and current trends/issues.
• Remain up-to-date on departmental procedures, payer contracts and insurance billing regulations.

Benefits

• Tuition Reimbursement (up to $6,000 per year based upon Full or Part Time status)
• Up to 120 hours of paid time off per year based on Full or Part Time status
• Employee discounts to various activities, services, and vendors
• Free employee parking
• Employee referral bonus

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED