Medical Hospital Based Billing Specialist - Acute
About The Position
SRMC Has an Exciting Opportunity for Qualified Candidates! Position: FT Medical Hospital Based Billing Specialist - Acute Department : Patient Accounting Shift: Mon-Fri, 8 hr day shift PURPOSE Seeking a candidate who is highly analytical and detail oriented to optimize our hospital-based reimbursement cycle. You will own end-to-end institutional billing workflow; manage Medicare submissions, daily clearinghouse edits, and complex insurance denials within our EMR system. We are looking for a proactive professional dedicated to resolving account checks, executing strategic appeals, and accelerating payment collection to maintain our clinical network's financial health.
Requirements
- High School Diploma or GED required
- 1-3 years hospital based billing experience
- Complete understanding of EOBs, modifiers, Claims Adj/Reason Code Adj, Insurance processes & insurance website usage
- Must be comfortable navigating a high-volume workload and meeting timely filing deadlines
- Strong Computer skills
- Knowledgeable in CPT and ICD-10 coding
- Familiarity with medical terminology
- Ability to communicate with various insurance payers and other hospital departments
- Experience in filing claim appeals with insurance companies to ensure maximum reimbursement
- Responsible use of confidential information
- Strong written, verbal, and argumentative skills when dealing with insurance carriers
- Ability to multi-task
Nice To Haves
- Knowledge of additional specialized function may be required such as third party payers, hospital & physician billing processes, CPT4/ICD10 code application
Responsibilities
- Own end-to-end institutional billing workflow
- Manage Medicare submissions
- Manage daily clearinghouse edits
- Manage complex insurance denials within our EMR system
- Resolve account checks
- Execute strategic appeals
- Accelerate payment collection
Benefits
- Competitive wages
- Medical/prescription insurance
- Dental insurance
- Vision insurance
- Accident and critical insurance
- Employer paid life insurance
- 403 (b) retirement with employer matching
- Tuition reimbursement
- Continuing education reimbursement
- Cafeteria discounts
- Employee Assistance Program
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
