Billing Representative Revenue Cycle Department

Ascension•Austin, TX

22h•Onsite

About The Position

The Billing Representative will be responsible for executing targeted denial diagnostics, driving report-driven claim resolution, advancing clean claim metrics, navigating complex payer portals, and collaborating in an onsite clinical environment. This role is part of the Revenue Cycle Management department and is located at the Seton Admin Offices in Austin, Texas.

Requirements

High School diploma equivalency OR 1 year of applicable cumulative job specific experience required.
Proven Denial Management Acumen: Direct experience identifying, appealing, and resolving insurance claim holds and denials.
Insurance Landscape Knowledge: Solid foundational understanding of commercial and government payer guidelines, coordination of benefits, and billing codes.
Analytical Problem-Solving: The ability to work from structured reports, prioritize a high-volume workload, and focus on high-impact claims.
Exceptional Communication: Strong professional communication skills to effectively collaborate with onsite colleagues and insurance representatives.
Technical Agility: Proficiency in navigating billing software, clearinghouses, and electronic medical record (EMR) systems.

Responsibilities

Systematically review and resolve specialized billing holds and complex claim denials to accelerate revenue recovery and minimize aging accounts receivable.
Analyze high-priority billing reports to strategically target, investigate, and correct bottlenecked claims daily.
Review submitted claims against strict payer criteria to identify omissions, correct billing errors, and prevent recurring rejections at the source.
Interface directly with insurance clearinghouses and payer networks to track claim progress and overturn adjudication errors.
Work closely with local administrative and clinical teams to resolve documentation gaps that cause front-end claim holds.