Hospital Biller | Permanent WFH

We are seeking an experienced Hospital Biller to join our Patient Financial Services team and support the hospital's revenue cycle by ensuring claims are accurate, complete, and submitted promptly for reimbursement.

This role will primarily focus on working within the Quadax clearinghouse to identify and correct front-end claim errors, resolve claim issues, and ensure clean claims are successfully submitted to insurance payers. The ideal candidate has strong knowledge of hospital billing workflows, insurance requirements, claim corrections, and denial management, with the ability to efficiently manage a high-volume workload of at least 150 accounts per day.

The Hospital Biller will also assist with insurance follow-up, denial resolution, appeals, and accounts receivable activities while maintaining accuracy, compliance, and patient confidentiality.

Key Responsibilities

• Review and process hospital claims through the Quadax clearinghouse to identify front-end errors and claim submission issues.
• Correct claim errors and ensure all required information is accurate and complete before submission to payers.
• Work assigned accounts efficiently while meeting a minimum productivity expectation of 150 accounts per day.
• Follow up on outstanding insurance claims to support timely reimbursement.
• Contact insurance companies to verify claim status and resolve payment or processing issues.
• Review denied and rejected claims to identify root causes and determine appropriate resolution.
• Prepare and submit accurate claim corrections, reconsiderations, and appeals with supporting documentation.
• Collaborate with coding, billing, and other revenue cycle teams to resolve claim discrepancies and prevent recurring errors.
• Review payer requirements and ensure claims meet applicable billing and submission guidelines.
• Monitor accounts receivable and aging reports and prioritize high-value, aged, or time-sensitive accounts.
• Accurately document claim activity, follow-up efforts, corrections, and payer responses within the appropriate billing system.
• Maintain compliance with HIPAA, payer regulations, and hospital policies when handling patient and financial information.
• Identify recurring billing and claim issues and contribute to process improvement initiatives within the revenue cycle department.
• Maintain a high level of accuracy while working within established productivity and quality standards.
• Perform other duties as assigned within the Patient Financial Services team.
  
  

Qualifications

• High school diploma or equivalent.
• Previous experience in hospital billing, medical billing, insurance follow-up, or denial management.
• Hands-on experience reviewing and correcting insurance claims.
• Working knowledge of Medicare, Medicaid, and commercial insurance payers.
• Understanding of claims processing, rejections, denials, and payer requirements.
• Ability to manage accounts receivable and interpret aging reports.
• Strong attention to detail and ability to identify billing discrepancies.
• Ability to manage a high-volume workload while maintaining accuracy and productivity.
• Strong written and verbal communication skills.
• Ability to handle confidential patient and financial information in accordance with HIPAA requirements.
• At least 2 years of experience in hospital billing, collections, or medical billing/collections.
• Experience working with Quadax or other healthcare clearinghouse platforms.
• Familiarity with CPT, ICD-10, and HCPCS coding systems.
• Experience with hospital billing systems and/or electronic health record (EHR) platforms.
• Strong knowledge of payer-specific billing and claim submission requirements.
• Experience resolving front-end claim errors, rejections, denials, and unpaid claims.
• Knowledge of hospital revenue cycle workflows and Patient Financial Services operations.
• Experience preparing appeals and resolving complex insurance claim issues.
  
  

Perks

• Permanent Work From Home
• Leave Credits
• Monetary Allowance
• Annual Bonus
• Weekly Paychecks
• Fixed Weekends Off
• Thriving Company Culture with Complete Autonomy
• Exclusive Specialized Training Programs
• Unlock Your Potential with a Highly Competitive Salary
  
  

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