Hospital Biller

Remote Medical Biller (Hospital Billing)

Duration: 3-6 month contract with potential for permanent hire after contract completion
Company: Medix
Location: Remote
Pay: $19+/hour (DOE)
Schedule: Monday - Friday 8am-5pm (some flexibility), 40 hours per week
Start Dates: 3/17 & 3/24

Overview:
We are seeking experienced Hospital Medical Billers to assist with a backlog of claims. This is a remote, full-time,
temporary role with the potential for permanent hire based on performance.

Key Responsibilities:
● Process and submit hospital, hospital-based physician, and clinic claims accurately and efficiently to third-party
insurance carriers, either electronically or via hard copy.
● Work within Epic, Cerner, Centriq, and/or Thrive to manage billing workflows.
● Ensure timely follow-up and resolution of outstanding claims, maintaining a goal of zero errors.
● Identify and correct billing errors to maximize reimbursement.
● Collaborate with insurance companies and internal teams to address denials, discrepancies, and reimbursement
issues.
● Secure and submit necessary medical documentation requested by third-party insurance providers.
● Follow up on unpaid claims until payment is received or only the self-pay balance remains.
● Process claim rejections by correcting errors and resubmitting claims or transitioning accounts to private pay.
● Read and interpret Explanation of Benefits (EOB) statements to resolve claims issues.
● Manage denials effectively, ensuring timely appeals and corrections.
● Review late charge reports and file corrected claims or write off charges per client policy.
● Identify and address overlapping service dates, readmissions, and other billing conflicts based on payer rules.
● Review and resolve credit balances, submitting reports as required by payers.
● Consistently meet production and quality assurance standards.
● Maintain confidentiality of customer and patient information.
● Participate in company-provided training to stay updated on industry regulations and best practices.
● Assist with team projects as needed.

Qualifications:
● Minimum 1 year of hospital billing experience required.
● Proficiency in Epic, Cerner, Centriq and/or Thrive or other EHR systems.
● Strong knowledge of medical billing processes, insurance guidelines, and claim follow-ups.
● Ability to work independently and meet deadlines in a high-volume environment.

Additional Details:
● Equipment provided.
● Temporary role (3-6 months) with potential for permanent hire based on performance.

For California Applicants:

We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO) , and the California Fair Chance Act (CFCA).

This position is subject to a background check based on its job duties, which may include patient care, working with vulnerable populations, access to financial and confidential information, driving, working with heavy machinery, or working in a warehouse or laboratory environment. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.