Hospital Billing Specialist

About This Role

The Hospital Billing Specialist is responsible for essential billing and insurance follow-up functions, ensuring accurate claim processing, resolving denials, and achieving zero-balance resolution for patient accounts.

Responsibilities

• Import charges from queues in a timely manner and append modifiers or any required information for claim transmission
• Review daily accounts that are ready to be billed in Waystar from Meditech
• Initiate correction on all claims with errors by the designated time
• Follow up on any correspondence that may have been received on that day or the previous day
• Cross train on billing all lines of business to the different payers
• Pull listing of all accounts assigned to be follow up by specific payer
• Perform diagnostic and procedural coding
• Resubmit primary, secondary, and tertiary claims per respective regulations and policies
• Communicate with third-party representatives to complete claims processing and/or resolve problem claims
• Follow-up daily on post-processing activity including rejected billings, adjustments, rebilling, and denied claims for accounts

Requirements

• Basic computer proficiency
• Typing speed: minimum 40 WPM

Qualifications

• High School Diploma or GED
• Six months previous experience in hospital registration, billing and collections, financial counseling, or customer service preferred

Nice to Have

• Six months previous experience in hospital registration, billing and collections, financial counseling, or customer service
• Knowledge of medical terminology
• Familiarity with CPT and ICD-9 coding
• Good written and verbal communication skills

Skills

* Required skills