(Remote) Billing Support Specialist

Harris Computer • Arlington, TN

3d • $18 - $26 • Remote

About The Position

MEDHOST, a division of Harris, is seeking a Billing Representative responsible for the timely and accurate submission of hospitals' primary, secondary, and tertiary patient bills to Medicare, Medicaid, Blue Cross, commercial, and other government insurance payors. This remote role welcomes candidates anywhere in the US. Preference will be given to candidates who can work in CST or EST timezone. The role involves coordinating daily hospital billing within controls to ensure adherence to billing guidelines and standards, managing billing inventory for assigned clients, and meeting financial goals. The position requires building and maintaining strong customer relationships, maintaining working knowledge of billing software, and working various types of claims daily, including late charge reports, rejected claims, claims in error, DDE claims, and shadow claims. It also involves ensuring facility Rebills are worked and comments logged within 7 business days, communicating issues to the Team Lead/Manager, and collaborating with hospitals and insurance payors to resolve claims. Working outstanding claims may involve various strategies such as calls, letters, meetings, faxing, emails, rebilling, and filing corrected claims. The role also requires partnership with other teams/departments for issue resolution and timely submission of billing/rebilling requests. Continued education of billing practices and software applications is expected, as is assisting in training new and existing employees. Maintaining the MEDHOST Quality Management System and meeting regulatory requirements are also key responsibilities. Administrative duties include accurately inputting worked time, maintaining in-depth knowledge of MEDHOST core products and third-party clearinghouses, and staying current with industry knowledge through self-study and training. The role also involves recommending department and customer documentation, providing training and documentation, attending meetings, and responding effectively to emails, calls, voicemails, Microsoft Teams messages, and correspondence. Adherence to all HIPAA Privacy and Security requirements and performing duties in a positive manner upholding company policies are essential.

Requirements

• Knowledge of computer applications or other automated systems, such as excel spreadsheets, word, email, and data base software in working assignments.
• MEDHOST (HMS) knowledge a plus.
• Knowledge of hospital billing, revenue cycle and medical terminology.
• Thorough understanding of accounts receivable, collections, billing, appeals and denials.
• Knowledge and understanding of Explanation of Benefits (EOB), state, and federal guidelines required.
• Ability to navigate healthcare information system(s) and clearinghouse(s).
• Access protected health information (PHI) in accordance with departmental assignments and guidelines.
• Skilled in making accurate arithmetic computations.
• Excellent communication skills (verbal & written), good judgement, tact, initiative, and resourcefulness.
• Must be detail oriented, organized, and ability to multi-task.
• Ability to demonstrate supportive relationships with peers, clients, partners, and corporate executives.
• Must be flexible with a "can do" attitude and have the ability to remain professional under high pressure situations.
• High School or equivalency diploma required.
• Minimum 1 year of experience in a hospital billing/patient account receivable related environment.
• Minimum 1 year of experience utilizing hospital claims management/billing software.
• Must be able to follow directions and to perform work according to department standards independently.
• Computer skills in Microsoft Office applications (i.e., Word, Excel, PowerPoint, etc.) to complete work assigned.
• Customer Service oriented.
• High Speed Internet access (minimum 300 Mbps download speed) and unlimited data.
• Smart phone for Multi Factor Authentication (MFA) application.
• Commitment to leveraging emerging technologies to improve workflows, solve problems, and increase efficiency.
• Comfortable using AI enabled technologies, including copilots, chat based AI assistants, and automation tools, as part of their everyday work while maintaining appropriate judgment, security, and compliance standards.

Nice To Haves

• MEDHOST (HMS) knowledge a plus.

Responsibilities

• Coordinate's hospital daily billing within controls to ensure billing is completed and abides by billing guidelines and standards as established by company and client.
• Ensure billing inventory for assigned clients is managed and financial goals are being met as set by the company.
• Build and maintain strong, long-lasting customer relationships.
• Maintains working knowledge of all software applications related to billing claims to payors.
• Work claims generated on the late charge reports, rejected claims, claims in error, DDE claims and shadow claims daily.
• Ensure facility Rebills are worked and comments logged on patient accounts within 7 business days.
• Communicate directly with Team Lead/Manager of issues impairing billing process and tools for effective billing.
• Verbal and written communication with hospitals to retrieve information for rebills/corrected claims and communicate with insurance payors to work claims not processed/paid.
• Working outstanding claims may require a broad range of strategies including telephone calls, letters, meetings, faxing, emails, rebilling, and filing corrected claims.
• Work in partnership with other teams/departments regarding resolution of billing/payor payment issues and concerns.
• Timely and appropriate submission of billing/rebilling requests from customers and team members within the department.
• Continued education of billing practices for private and government payors, including billing software application(s).
• Assist in the training and education of new and existing employees.
• Maintain the effectiveness and implementation of the MEDHOST Quality Management System and meet applicable regulatory requirements as needed.
• Responsible for QMS procedures listed in QMS Procedure Crosswalk found in QMS Manual as applicable.
• Performs other duties as assigned.
• Accurately input/submit worked time by the required departmental deadlines.
• Maintain in-depth knowledge of the MEDHOST core products and third-party clearinghouses utilized for billing.
• Maintain industry knowledge through self-study and attending training classes.
• Recommend department and customer documentation.
• Provide training and training documentation in areas of expertise necessary to assist team members and customers.
• Attend and participate in team and departmental meetings.
• Effectively responds to emails, telephone calls, voicemails, Microsoft Teams messages, and correspondence from facilities in a timely manner.
• Adherence to all HIPAA Privacy and Security requirements and responsibilities.
• Perform duties and responsibilities in a positive manner that upholds company policies and procedures.

Benefits

• 3 weeks’ vacation and 5 personal days
• Comprehensive Medical, Dental, and Vision benefits starting from your first day of employment
• Employee stock ownership and RRSP/401k matching programs
• Lifestyle rewards
• Remote work

What This Job Offers

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