Billing Representative

Job Summary

Performing day-to-day billing activities, the fully remote Billing Representative will manage primary, secondary, and tertiary billing processes, resolve claim edits and rejections, and ensure compliance with payer guidelines.

Key responsibilities

• Perform daily billing activities, including resolving billing edits and rejected claims to ensure accurate and timely claim submission
• Investigate and address overpayment and underpayment accounts to optimize reimbursement
• Track and report denial types and root causes, recommending process improvements for billing accuracy

Required qualifications

• High school diploma or Associate degree in Accounting, Business Administration, or a related field
• Minimum of two (2) to three (3) years of experience in revenue cycle medical billing, insurance follow-up, and denial management
• Experience in a complex, multi-site healthcare system preferred
• Basic proficiency in Microsoft Office (Outlook, Word, PowerPoint, Excel)
• Familiarity with CPT, ICD-10, and HCPCS coding