Billing Representative - Remote

Building Location:Business Service Center

Department:46800 Hospital Billing

Job Description:Processes paper and electronic claims to payers with full and complete information to satisfy and facilitate the claim for payment. Produces accurate and timely claims in order to prevent denials and maximize reimbursement. Responsible for working assigned work queues within the patient accounting system and claim scrubber edits prior to final submission. Responsible for optimizing the claim submission operations including prospectively reviewing submissions and making corrections to expedite first time payment to the extent possible. He/ she is also responsible for research and communication of payer, HIPAA or other regulatory changes affecting the billing of health insurance claims and making recommendations regarding billing and system operations to improve payment turnaround. This position works closely with insurance companies, credentialing, access and managed care and other internal and external stakeholders tied to the billing system. Makes recommendations regarding system changes to improve the revenue cycle process and quality, and works to assist in the development of training. Position requires high level of customer service skills to establish and enhance positive relationships with patients, colleagues, and others. Depending upon location responsibilities may vary and may include a variety of duties of similar scope and responsibility.

Education Qualifications:

Required Qualifications:

Licensure/Certification Qualifications:

FTE:1

Possible Remote/Hybrid Option:

Remote

Shift Rotation:Day Rotation (United States of America)

Shift Start Time:Day

Shift End Time:Day

Weekends:

Holidays:No

Call Obligation:No

Union:DC USWA Main & Neighborhoods (DCUMN)

Union Posting Deadline:02/6/2025

Compensation Range:

$16.33 - $24.32

Employee Benefits at Essentia Health*:

• Health Coverage: Medical, dental, vision, life and disability insurance, plus supplemental health benefit options to ensure employees' well-being.

• Retirement Savings Plans: 401(k) with employer contributions to support long-term financial security.

• Professional Development: Opportunities for career growth through training, tuition reimbursement, and educational programs.

• Work-Life Balance: Flexible scheduling, time off, holidays, and personal leave to help employees manage their professional and personal lives.

• Employee Wellness Programs: Initiatives focused on physical, mental, and emotional health, including fitness memberships, counseling services, and wellness activities.

*Eligibility for Essentia Health’s benefit programs vary. Please refer to the benefit summary provided to you, or contact our HR Service Center at (218) 576-0000 for more information.