Hospital Billing Specialist—Revenue Cycle

BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER•Beatrice, NE

11h

About The Position

The Hospital Billing Specialist manages assigned accounts to ensure accurate and timely billing, follow-up, and collection of third-party reimbursement for services rendered in multi-specialty clinics. The role prepares and submits claims and researches and resolves claim edits, denials, underpayments, unpaid claims, and other reimbursement issues while complying with CMS regulations, payer requirements, HIPAA, and organizational policies. The specialist monitors accounts receivable to promote timely payment, identifies and escalates reimbursement trends affecting revenue, processes insurance credit balances and refund requests according to departmental policy, and provides billing and reimbursement assistance to patients and internal staff as needed. The position is full-time, Monday through Friday, 8:00 a.m. to 4:30 p.m. Flexible scheduling is available. Remote work may be an option after the training period and successful demonstration of billing competencies.

Requirements

High school diploma or equivalent required.
Two years of experience in healthcare, medical office operations, insurance, customer service, banking, billing, collections, accounts receivable, or a related administrative role preferred.
Post-secondary education may substitute for years of experience.

Nice To Haves

Associate's degree preferred.

Responsibilities

Manage assigned accounts to ensure accurate and timely billing, follow-up, and collection of third-party reimbursement.
Prepare and submit claims.
Research and resolve claim edits, denials, underpayments, unpaid claims, and other reimbursement issues.
Maintain compliance with CMS regulations, payer requirements, HIPAA, and organizational policies.
Monitor accounts receivable to promote timely payment.
Identify and escalate reimbursement trends impacting revenue.
Process insurance credit balances and refund requests in accordance with departmental policy.
Provide billing and reimbursement assistance to patients and internal staff as needed.