Billing Representative

Essentia Health•Fargo, ND

2d•$18 - $26•Remote

About The Position

The Billing Representative processes paper and electronic claims to payers with complete information to facilitate payment. The role produces accurate and timely claims to prevent denials and maximize reimbursement, and works assigned queues in the patient accounting system and claim-scrubber edits before final submission. The representative prospectively reviews claims and makes corrections to support first-time payment whenever possible. The position researches and communicates payer, HIPAA, and other regulatory changes affecting health insurance claim billing, and recommends improvements to billing and system operations. It works closely with insurance companies, credentialing, access, managed care, and other internal and external stakeholders. The representative also recommends system changes to improve revenue-cycle processes and quality and assists with training development. Strong customer-service skills are required to establish and enhance positive relationships with patients, colleagues, and others. Depending on the location, responsibilities may vary and may include duties of similar scope and responsibility.

Requirements

High level of customer-service skills to establish and enhance positive relationships.

Nice To Haves

One year of experience in healthcare billing, revenue services, or coding.
Medical certification or degree.

Responsibilities

Process paper and electronic claims with complete information to facilitate payment.
Produce accurate and timely claims to prevent denials and maximize reimbursement.
Work assigned patient-accounting-system queues and claim-scrubber edits before final submission.
Review submissions prospectively and make corrections to expedite first-time payment where possible.
Research and communicate payer, HIPAA, and other regulatory changes affecting health insurance claim billing.
Recommend billing, system, and revenue-cycle process improvements.
Work with insurance companies, credentialing, access, managed care, and other internal and external stakeholders.
Assist with the development of training.
Build and maintain positive relationships with patients, colleagues, and others through strong customer service.
Perform other duties of similar scope and responsibility as required by location.