Hospital Medicare Biller (Remote)

Overview

This role involves performing a variety of revenue cycle activities including billing, collections, cash posting, and customer service to support hospital and physician accounts. The position ensures accurate and timely financial documentation and reimbursement through effective communication with patients, insurance companies, and other stakeholders. Compliance with all regulations including HIPAA and adherence to organizational policies and procedures is required.

Responsibilities

• Accurately and efficiently process patient accounts, including billing, collections, and payment posting.
• Respond to and resolve inquiries from patients, insurance carriers, and internal departments.
• Prepare and submit claims using billing systems; work claim edits and rejections.
• Follow up on unpaid accounts and perform collections activities as appropriate.
• Research and apply unidentified payments.
• Balance daily cash posting and reconcile discrepancies.
• File appeals and reconsideration requests according to department protocol.
• Identify and report overpayments; ensure appropriate refunds.
• Participate in accounts receivable clean-up projects and other revenue cycle initiatives.
• Maintain productivity and quality standards while managing daily work queues.
• Demonstrate ownership and accountability in completing assignments.

Requirements

• High School Diploma or GED equivalent.
• 1–2 years of previous hospital and/or physician business office experience preferred.
• Ability to communicate effectively, both verbally and in writing.
• Ability to work independently with minimal supervision.
• Strong customer service and interpersonal skills.
• Basic general accounting and bookkeeping knowledge.
• Knowledge of medical billing practices and medical terminology.
• Proficient in Microsoft Excel, Word, Outlook.
• Experience with systems such as Epic and SSI preferred.
• Efficient operation of 10-key pad (for cash posting roles).
• Demonstrates flexibility and teamwork across all business office functions.

Licenses/Certifications

• Relevant licensure and practices obtained within the timeframe required by facility policy.

Location

Not specified.