Based in Ottawa, Ontario, Canada, Harris Computer Systems provides mission-critical software solutions for organizations across the United States and Canada, in
Hospital Billing Representative
Location
United States
Posted
6 days ago
Salary
$18 - $28 / hour
Seniority
Mid Level
No structured requirement data.
Job Description
Hospital Billing Representative
Harris Computer Systems
Role Description MEDHOST, a division of Harris, is seeking a Hospital Billing Representative who will support front end hospital billing and clean claim submission for insurance payers, including Medicare, Medicaid, Blue Cross, commercial payers, and other government entities. This position is focused on front end hospital billing. The successful candidate will be responsible for: - Reviewing, correcting, and submitting hospital claims through billing clearinghouses and payer systems. - Coordinating daily front end hospital billing activities to ensure claims are reviewed, corrected, and submitted accurately to insurance payers. - Submitting initial hospital claims through billing clearinghouses and payer systems. - Reviewing and resolving front end claim edits before claims are released to payers. - Correcting billing issues related to diagnosis codes, procedure codes, charge codes, payer requirements, demographics, authorization details, or claim formatting. - Working claim edit queues, rejected claim files, DDE claims, late charge claims, rebills, corrected claims, and shadow claims as assigned. - Maintaining a high clean claim rate by ensuring claims meet payer billing guidelines before submission. - Using hospital billing software and third party clearinghouses to process and monitor claims at the submission stage. - Maintaining working knowledge of all software applications related to hospital billing and claims submission. - Ensuring facility rebills are worked and comments are logged on patient accounts within 7 business days. - Communicating issues impairing the billing process to the Team Lead or Manager. - Communicating with hospitals, internal teams, and payers when additional information is needed to correct and submit claims. - Partnering with other teams and departments to resolve billing, payer, clearinghouse, or claim submission issues. - Submitting billing and rebilling requests from customers and team members in a timely manner. - Staying current with billing practices for private and government payers, including billing software applications and clearinghouse requirements. - Assisting in the training and education of new and existing employees. - Maintaining the effectiveness and implementation of the MEDHOST Quality Management System and meeting applicable regulatory requirements. - Accurately inputting and submitting worked time by departmental deadlines. - Maintaining in depth knowledge of MEDHOST core products and third party clearinghouses. - Maintaining industry knowledge through self study and training. - Recommending department and customer documentation. - Providing training and training documentation in areas of expertise. - Attending and participating in team and departmental meetings. - Responding to emails, telephone calls, voicemails, Microsoft Teams messages, and correspondence from facilities in a timely manner. - Adhering to all HIPAA Privacy and Security requirements. - Performing duties in a positive manner that upholds company policies and procedures. - Performing other duties as assigned. Qualifications - High School diploma or equivalent required. - Minimum 1 year of front end hospital billing experience required. - Minimum 1 year of experience submitting hospital claims through billing clearinghouses required. - Minimum 1 year of experience utilizing hospital claims management or billing software required. - Experience resolving front end claim edits before payer adjudication required. - Experience working with hospital billing systems, claim edit queues, clearinghouse platforms, and payer submission workflows required. - Working knowledge of institutional hospital claims, payer billing requirements, clean claim submission, rebills, corrected claims, late charges, DDE claims, and claim edit resolution. - Ability to clearly explain prior experience with clearinghouses such as SSI, Availity, Waystar, Change Healthcare, TrueBridge, or Quadax. - Ability to identify claim errors before submission and take appropriate corrective action. - Ability to follow billing standards, department procedures, and payer guidelines independently. - Strong attention to detail and ability to manage billing inventory accurately. - Computer skills in Microsoft Office applications, including Word, Excel, PowerPoint, and Outlook. - Customer service orientation with the ability to support internal teams, facilities, and customers professionally. - High speed internet access with minimum 300 Mbps download speed and unlimited data. - Smart phone for Multi Factor Authentication application. Requirements - MEDHOST or HMS knowledge. - Experience maintaining a strong clean claim rate. - Experience submitting Medicare, Medicaid, Blue Cross, commercial, and government payer claims. - Experience working claim edit queues within a hospital billing environment. - Experience with UB04, 837I, DDE, rebills, corrected claims, late charges, and clearinghouse edits. - Knowledge of hospital billing, revenue cycle, and medical terminology. - Ability to navigate healthcare information systems and clearinghouses. - Ability to access protected health information in accordance with departmental assignments and guidelines. - Skilled in making accurate arithmetic computations. - Excellent verbal and written communication skills, good judgment, tact, initiative, and resourcefulness. - Detail oriented, organized, and able to manage multiple priorities. - Ability to demonstrate supportive relationships with peers, clients, partners, and corporate executives. - Flexible with a can do attitude and ability to remain professional under high pressure situations. Benefits - 3 weeks’ vacation and 5 personal days. - Comprehensive Medical, Dental, and Vision benefits starting from your first day of employment. - Employee stock ownership and RRSP/401k matching programs. - Lifestyle rewards. - Remote work and more!
Related Guides
Related Categories
Related Job Pages
More Medical Billing and Coding Jobs
Professional Fee Multi-Specialty Coder
AmergisAmergis is a healthcare staffing agency that helps connect qualified professionals to locations that need them, like healthcare facilities and schools. It speed
Remote Professional Fee Multi-Specialty Coder Location: Independence, Ohio Work Arrangement: Fully Remote Employment Type: Full-time Contract Contract Duration: 52 weeks Salary: Approximately $1,080 per week Job Description: The Profee Medical Coder is responsible for assigning ICD-10 and/or CPT/HCPCS codes as appropriate and abstracts pertinent information from patient records. Minimum Requirements: - Must hold at least one of the following certifications: RHIA, RHIT, CCS, CCS-P, CPC, CPC-H (COC) for a minimum of 2 years and have a minimum of 2 years relevant coding experience - Must be at least 18 years of age Benefits At Amergis, we firmly believe that our employees are the heartbeat of our organization and we are happy to offer the following benefits: - Competitive pay & weekly paychecks - Health, dental, vision, and life insurance - 401(k) savings plan - Awards and recognition programs *Benefit eligibility is dependent on employment status. About Amergis Amergis, formerly known as Maxim Healthcare Staffing, has served our clients and communities by connecting people to the work that matters since 1988. We provide meaningful opportunities to our extensive network of healthcare and school-based professionals, ready to work in any hospital, government facility, or school. Through partnership and innovation, Amergis creates unmatched staffing experiences to deliver the best workforce solutions. Amergis is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected Veteran status, age, or any other characteristic protected by law.
Observation Coder
Health Information PartnersAt HIP, we are dedicated to excellence in health information management. Our team values collaboration, professionalism, and the unique skills each member brings to the table. We strive to create a positive and rewarding work environment for all our employees. How to Apply If you’re ready to bring your expertise to a dynamic and supportive team, we’d love to hear from you! Submit your application and updated resume to Careers@hip-inc.com today.
Role Description Health Information Partners (HIP) is seeking a highly skilled Observation Surgery Coder for immediate placement. This part-time role offers 100% remote work with flexible scheduling, making it an excellent opportunity for professionals seeking work-life balance. If you have a passion for coding and a proven track record in observation surgery coding, we’d love to hear from you! - Accurately code observation surgery records in compliance with industry standards and guidelines. - Utilize EPIC software to perform coding tasks efficiently (preferred experience). - Ensure coding accuracy and completeness to support proper billing and reimbursement processes. - Collaborate with team members and stakeholders to maintain high-quality coding standards. - Stay updated on coding regulations and best practices to ensure compliance. Qualifications - CCS credential required. - Minimum of 3 years of recent observation coding experience. - Familiarity with EPIC software is preferred but not mandatory. - Availability for at least 20 hours per week, with flexible days and hours. Requirements - Successfully pass a pre-employment coding proficiency test to demonstrate expertise. - Undergo and pass a criminal record, OIG, and drug screening as part of the hiring process. Benefits - Competitive hourly rate or salary (discussed during the hiring process). - Opportunities for professional growth and development. - A supportive remote working environment with access to resources and guidance. - Flexible scheduling to suit your individual needs. Company Description At HIP, we are dedicated to excellence in health information management. Our team values collaboration, professionalism, and the unique skills each member brings to the table. We strive to create a positive and rewarding work environment for all our employees. How to Apply If you’re ready to bring your expertise to a dynamic and supportive team, we’d love to hear from you! Submit your application and updated resume to Careers@hip-inc.com today.
Emergency Department Coder
Health Information PartnersAt HIP, we are dedicated to excellence in health information management. Our team values collaboration, professionalism, and the unique skills each member brings to the table. We strive to create a positive and rewarding work environment for all our employees. How to Apply If you’re ready to bring your expertise to a dynamic and supportive team, we’d love to hear from you! Submit your application and updated resume to Careers@hip-inc.com today.
Role Description Health Information Partners (HIP) is seeking a highly skilled Emergency Department Coder for immediate placement. This part-time role offers 100% remote work with flexible scheduling, making it an excellent opportunity for professionals seeking work-life balance. If you have a passion for coding and a proven track record in Emergency Department coding, we’d love to hear from you! - Accurately code Emergency Department records in compliance with industry standards and guidelines. - Utilize EPIC software to perform coding tasks efficiently (preferred experience). - Ensure coding accuracy and completeness to support proper billing and reimbursement processes. - Collaborate with team members and stakeholders to maintain high-quality coding standards. - Stay updated on coding regulations and best practices to ensure compliance. Qualifications - CCS credential required. - Minimum of 3 years of recent Emergency Department coding experience. - Familiarity with EPIC software is preferred but not mandatory. - Availability for at least 20 hours per week, with flexible days and hours. Requirements - Successfully pass a pre-employment coding proficiency test to demonstrate expertise. - Undergo and pass a criminal record, OIG, and drug screening as part of the hiring process. Benefits - Competitive hourly rate or salary (discussed during the hiring process). - Opportunities for professional growth and development. - A supportive remote working environment with access to resources and guidance. - Flexible scheduling to suit your individual needs.
Coder
UTMB Health - University of Texas Medical BranchUTMB Health, also known as The University of Texas Medical Branch, is an award-winning healthcare system based in Galveston, Texas. A nationally recognized teac
Role Description Properly codes and/or audits professional services for Inpatient and/or professional and hospital outpatient technical services for multiple specialty areas to ensure accuracy and optimal reimbursement from all third-party payers. - Reviews documentation in EPIC and/or on paper as provided to appropriately assign ICD-10-CM, PCS and CPT codes. - Communicates with and provides feedback to the education team and/or provider for query opportunities for documentation clarification or missing elements in the medical record. - Utilizes the encoder and/or Optum software to correctly assign all appropriate ICD-10-CM, ICD10-PCS and CPT codes for diagnosis and procedures. - Sequences diagnoses and procedures to generate clean claims in accordance with the Coding Guidelines based on the type of coding being reviewed. - Verifies all ADT information is correct on all charge sessions; date of service, billing provider, service provider, place of service, referral information and claim form if required. - Attends and participates in coding education sessions. - Obtains required CEU’s for certification and completes any required education. - Works coding related charge reviews/claim edits daily to ensure timely and accurate billing within filing deadlines. - The coder is responsible for productivity and quality standards to adhere with coding compliance and federal regulations. - Work all PB/HB claim edits and reject errors daily. - Hospital DNB’s will be worked as assigned per Specialty. - Work charge reconciliation to ensure all services provided are captured for coding in a timely manner. - Adheres to internal controls and reporting structure. Qualifications - Two years of medical billing or related experience, or related training from a non-accredited program or accredited agency. - Experience with Outpatient E/M level coding preferred. - Knowledge of coding guidelines, anatomy and physiology, biology and microbiology, medical terminology and medical abbreviations. Requirements - One of the following certifications is required: - CCA – Certified Coding Associate (AHIMA) - CCS – Certified Coding Specialist (AHIMA) - CCS-P – Certified Coding Specialist – Physician Based (AHIMA) - RHIA – Registered Health Information Administrator (AHIMA) - RHIT – Registered Health Information Technician (AHIMA) - CIC – Certified Inpatient Coder (AAPC) - COC – Certified Outpatient Coder (AAPC) - CPC – Certified Professional Coder (AAPC) - CPC-A – Certified Professional Coder – Apprentice (AAPC) - CRC – Certified Risk Adjustment Coder (AAPC) Working Environment/Equipment - Standard office environment at UTMB’s main campus or other location. - Occasional travel may be required. - Standard office equipment. Work Schedule - Remote Position, Monday through Friday, 8-hour shifts with availability between 6 AM - 6 PM. Equal Employment Opportunity UTMB Health strives to provide equal opportunity employment without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/expression, genetic information, disability, veteran status, or any other basis protected by institutional policy or by federal, state or local laws unless such distinction is required by law. As a Federal Contractor, UTMB Health takes affirmative action to hire and advance protected veterans and individuals with disabilities.
