MEDHOST, a division of Harris; is seeking a Billing Representative who is responsible for the timely and accurate submission of hospitals' primary, secondary, and tertiary patient bills to Medicare, Medicaid, Blue Cross, commercial, and other government insurance payors.
This remote role welcomes candidates anywhere in the US. Preference will be given to candidates who can work in CST or EST timezone.
Wage: $18 - $26/hr
AI & Innovation Mindset
We are committed to leveraging emerging technologies to improve how we work, serve our customers, and drive business outcomes. The successful candidate will demonstrate curiosity and a willingness to actively adopt and leverage AI tools to improve workflows, solve problems, and increase efficiency. Candidates should be comfortable using AI enabled technologies, including copilots, chat based AI assistants, and automation tools, as part of their everyday work while maintaining appropriate judgment, security, and compliance standards.
What your impact will be:
- Coordinate's hospital daily billing within controls to ensure billing is completed and abides by billing guidelines and standards as established by company and client.
- Ensure billing inventory for assigned clients is managed and financial goals are being met as set by the company.
- Build and maintain strong, long-lasting customer relationships.
- Maintains working knowledge of all software applications related to billing claims to payors.
- Work claims generated on the late charge reports, rejected claims, claims in error, DDE claims and shadow claims daily.
- Ensure facility Rebills are worked and comments logged on patient accounts within 7 business days.
- Communicate directly with Team Lead/Manager of issues impairing billing process and tools for effective billing.
- Verbal and written communication with hospitals to retrieve information for rebills/corrected claims and communicate with insurance payors to work claims not processed/paid. Working outstanding claims may require a broad range of strategies including telephone calls, letters, meetings, faxing, emails, rebilling, and filing corrected claims.
- Work in partnership with other teams/departments regarding resolution of billing/payor payment issues and concerns.
- Timely and appropriate submission of billing/rebilling requests from customers and team members within the department.
- Continued education of billing practices for private and government payors, including billing software application(s).
- Assist in the training and education of new and existing employees.
- Maintain the effectiveness and implementation of the MEDHOST Quality Management System and meet applicable regulatory requirements as needed.
- Responsible for QMS procedures listed in QMS Procedure Crosswalk found in QMS Manual as applicable.
- Performs other duties as assigned.
Administrative Duties
- Accurately input/submit worked time by the required departmental deadlines.
- Maintain in-depth knowledge of the MEDHOST core products and third-party clearinghouses utilized for billing.
- Maintain industry knowledge through self-study and attending training classes.
- Recommend department and customer documentation.
- Provide training and training documentation in areas of expertise necessary to assist team members and customers.
- Attend and participate in team and departmental meetings.
- Effectively responds to emails, telephone calls, voicemails, Microsoft Teams messages, and correspondence from facilities in a timely manner.
- Adherence to all HIPAA Privacy and Security requirements and responsibilities.
- Perform duties and responsibilities in a positive manner that upholds company policies and procedures.
What we are looking for:
- Knowledge of computer applications or other automated systems, such as excel spreadsheets, word, email, and data base software in working assignments. MEDHOST (HMS) knowledge a plus.
- Knowledge of hospital billing, revenue cycle and medical terminology.
- Thorough understanding of accounts receivable, collections, billing, appeals and denials.
- Knowledge and understanding of Explanation of Benefits (EOB), state, and federal guidelines required.
- Ability to navigate healthcare information system(s) and clearinghouse(s).
- Access protected health information (PHI) in accordance with departmental assignments and guidelines.
- Skilled in making accurate arithmetic computations.
- Excellent communication skills (verbal & written), good judgement, tact, initiative, and resourcefulness.
- Must be detail oriented, organized, and ability to multi-task.
- Ability to demonstrate supportive relationships with peers, clients, partners, and corporate executives.
- Must be flexible with a "can do" attitude and have the ability to remain professional under high pressure situations.
- High School or equivalency diploma required.
- Minimum 1 year of experience in a hospital billing/patient account receivable related environment.
- Minimum 1 year of experience utilizing hospital claims management/billing software.
- Must be able to follow directions and to perform work according to department standards independently.
- Computer skills in Microsoft Office applications (i.e., Word, Excel, PowerPoint, etc.) to complete work assigned.
- Customer Service oriented.
- High Speed Internet access (minimum 300 Mbps download speed) and unlimited data.
- Smart phone for Multi Factor Authentication (MFA) application.
What we can offer:
- 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!
About MEDHOST:
MEDHOST, founded in 1984 and headquartered in Franklin, Tennessee, is a leading provider of healthcare information technology solutions. Serving over 1,000 healthcare facilities nationwide, MEDHOST offers a comprehensive suite of products, including electronic health records (EHR), financial management systems, and patient engagement platforms. Their mission is to empower healthcare organizations to enhance patient care and improve business operations through innovative, user-friendly solutions. In January 2024, MEDHOST was acquired by N. Harris Computer Corporation, further strengthening its position in the healthcare IT industry.
About Harris:
Harris is a leading provider of mission critical software to the public sector in North America. As a wholly owned subsidiary of Constellation Software Inc. (“CSI”, symbol CSU on the TSX), Harris has become the cornerstone for CSI’s investment in utility, local government, school districts, public safety, and healthcare software verticals. Our success has been realized through investments in our proprietary software and market expertise. This focus, combined with acquiring businesses that build upon or complement our offerings, has helped drive our success. Harris will continue to growth through reinvestment – both in the people and products that we offer and making investments in acquiring new businesses.
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