Hospital Biller II
About The Position
Xtensys is hiring a Hospital Biller II to manage complex hospital billing activities, resolve payer-related issues, and reduce reimbursement delays through advanced claim analysis and resolution. The role serves as a subject matter resource within the billing team and independently handles complex claim edits, denials, and billing exceptions while collaborating with coding, provider offices, credentialing, and revenue cycle partners. The position supports clean-claim performance, maximizes reimbursement, and contributes to operational and financial success through billing trend analysis and process improvement. The role is remote. Core operational and collaboration hours align with the Eastern Time Zone. Compensation is $21.54–$27.81 per hour.
Requirements
- Advanced knowledge of hospital billing, claims processing, denial management, and reimbursement methodologies.
- Strong understanding of CPT, HCPCS, ICD-10-CM, and payer billing requirements.
- Familiarity with electronic claim submission and billing work queues.
- Strong attention to detail and organizational skills.
- Ability to analyze claim errors and identify appropriate corrective actions.
- Strong problem-solving, critical-thinking, and analytical skills.
- Excellent organization and communication skills.
- Proficiency in Microsoft Office applications.
- Ability to train team members while maintaining productivity standards.
- Associate’s degree with five years of billing experience in a medical billing environment, or a high school diploma or GED with seven years of such experience.
- Ability to perform the essential functions with or without reasonable accommodation, including prolonged sitting and computer use, frequent keyboarding, occasional standing, walking, bending, and lifting or moving items up to 20 pounds, and sufficient visual acuity to review electronic documents, reports, and financial data.
Nice To Haves
- Proficiency with Epic Hospital Billing.
- Associate’s degree in a related field.
- Certified Biller credential.
Responsibilities
- Review and validate hospital claims for accuracy, completeness, and compliance.
- Submit compliant electronic claims to government, commercial, and managed care payers.
- Bill hospital services within required timeframes to support timely revenue capture.
- Rebill corrected claims accurately and promptly.
- Prioritize assigned work queues and maintain claim throughput.
- Analyze recurring denial and rejection trends and recommend corrective actions.
- Provide peer support and workflow guidance to less experienced team members.
- Monitor billing work queues and resolve claim edits promptly.
- Analyze and resolve claim rejections and front-end edits.
- Escalate complex billing or payer issues when appropriate.
- Collaborate with registration, credentialing, provider offices, and internal departments to obtain information and resolve claims.
- Comply with federal, state, payer, and organizational billing guidelines.
- Protect patient information according to HIPAA and organizational privacy standards.
- Document claim activity, payer communications, appeals, and resolutions.
- Meet or exceed productivity, quality, denial-resolution, and account-aging standards.
- Identify trends and recurring claim issues and support continuous improvement.
- Participate in departmental meetings, training, and process improvement initiatives.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
