Medical Hospital Based Billing Specialist - Acute

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.

QUALIFICATIONS

• 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.
• Knowledge of additional specialized function may be required such as third party payers, hospital & physician billing processes, CPT4/ICD10 code application
• 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.

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