The Billing Representative is responsible for the timely submission of hospital or professional claims to payers including but not limited to Medicare, Medicaid, Managed Medicare, Managed Medicaid, Managed Care, Commercial, Worker’s Compensation and Champus/Tricare. Responsibilities of the Billing Representative include, is not limited to, the following:
§Perform code and demographic audits on paper and electronic claims for accuracy utilizing the billing scrubber, payer edits and custom edits.
§Review electronic claims transmission reports and resolves electronic claims submission (ECS) rejections by making corrections in system, and resubmitting for payment.
§Communicate specific problems or concerns to Manager as appropriate.
§Request or post charge corrections and appropriate credit and debit adjustments to patient accounts.
§Correct patient demographic information when new/correct information is received.
§Review claims for accuracy and completeness and obtain any missing information. Work rejected claims utilizing compliant and ethical billing practices.
§Identify and bill secondary or tertiary insurances as needed.
The ideal Billing representative will have excellent verbal and written communication skills.
Baylor Scott & White Health (BSWH) is the largest not-for-profit health care system in Texas and one of the largest in the United States. With a commitment to and a track record of innovation, collaboration, integrity and compassion for the patient, BSWH stands to be one of the nation’s exemplary health care organizations. Our mission is to serve all people by providing personalized health and wellness through exemplary care, education and research as a Christian ministry of healing. Joining our team is not just accepting a job, it’s accepting a calling!