Hospital Biller | Healthcare Revenue Cycle

Guidehouse•San Antonio, TX

7d•Hybrid

About The Position

The Hospital Biller supports accurate and timely billing for inpatient and outpatient hospital services. The role works with government and commercial payers to resolve claim issues and collaborates with internal teams to help achieve department and facility goals. It also identifies recurring billing edits, compliance concerns, payment issues, and payer or system trends, and communicates findings to management. Additional related duties may be assigned as needed. The position is initially based in the San Antonio, Texas office, Monday through Friday, 8:00 AM–4:30 PM Central Time. A hybrid arrangement may be available after training. Travel is not required.

Requirements

High school diploma or GED, or three years of relevant experience in lieu of a diploma or GED.
1–3+ years of experience in healthcare, insurance, business, finance, or customer service.
Working knowledge of one or more of the following: insurance claims, billing, coding, follow-up, finance, accounting, or customer service.
Knowledge of payer requirements and applicable government billing regulations.
Ability to investigate issues, identify solutions, and communicate recurring concerns to management.
Strong organization, accuracy, communication, and interpersonal skills.

Nice To Haves

Previous hospital billing experience.
Experience correcting, submitting, and following up on hospital claims.
Experience using Microsoft Excel and Word.

Responsibilities

Review, correct, and bill electronic and paper claims for primary and secondary payers.
Download and reconcile claims from the patient accounting system to the electronic billing system each day.
Transmit or release claims at least daily.
Work assigned claims daily by resolving edits, validating claim information, or placing accounts on the appropriate departmental hold.
Follow up on held, unreleased, rejected, and payer-audited claims within required time frames.
Submit adjusted claims and rebill claims when needed.
Review same-day and 72-hour admission reports to determine whether accounts should be combined.
Update patient accounts with corrected demographic or insurance information.
Communicate address or plan changes to the appropriate team to help maintain the accuracy of the insurance master.
Monitor denials, billing edits, payments, and payer issues for trends and report findings to the supervisor.
Complete billing reconciliations and assigned special projects within established time frames.
Document account activity clearly in the electronic billing and patient accounting systems.
Follow applicable state and federal billing requirements, including HIPAA standards.
Participate in training provided by the hospital and third-party payers.
Respond to internal and external customers professionally and courteously.
Return calls and emails as soon as possible and within 24 hours.
Support the facility mission and values.