Billing Representative - Hospital

Title: Billing Representative - Hospital

Location: York, Pennsylvania, 17403, United States

Department: Revenue Cycle

Job Description:

Job Category: Revenue Cycle

Requisition Number: BILLI003716

Full-Time

Hybrid

Description

 

At OSS Health, our mission is to continually strive to be the healthcare leader in quality, innovation and value. We make every effort to understand and exceed the expectations and needs of our patients. We are committed to providing an environment that is safe, respectful, and dignified at all times. 

 Joining OSS Health means joining a culture of excellence and teamwork, with a strong focus on employee development and community support. OSS Health offers a great work environment, professional development opportunities, meaningful careers, and competitive compensation. 

 Are you ready to provide a 5-star “OSSOME” experience? Apply today! 

JOB SUMMARY:  

Reporting to the Billing and Payment Posting Supervisor, the Billing Representative is a key member of the Revenue Cycle team responsible for billing all insurance claims in a timely and accurate manner. 

SCHEDULE: Monday - Friday 6am-230pm

 

  ESSENTIAL DUTIES AND RESPONSIBILITIES: 

•   Transmits insurance claims electronically. Confirms that all claims submitted electronically are received and acknowledged by respective payers.  

 

• Prints and mails insurance claims, ensuring that required documentation and attachments are included. 
• Corrects billing edits and errors prior to claim submission. 
• Researches and corrects initial billing rejections received from payers. 
• Escalates difficult or recurring issues to immediate supervisor. 
• Demonstrates good judgment in safeguarding OSS information to include confidentiality of all medical and patient information. 
• Follows all policies and procedures of OSS. 
• Other duties as assigned. 

 

EDUCATION: 

•  High school diploma or GED required OR 5 years of work experience required. 
• An associate degree from a Medical Billing program is preferred. 

 

EXPERIENCE/QUALIFICATIONS: 

•  At least 5 years of experience in medical billing for a Hospital/Surgical Billing.
• CMS Billing Guidelines, FISS experience, and an understanding of Overlapping Claims.
• Coding certified preferred
• Must have a high attention to detail and possess excellent organizational, time management, and communication skills. 
• Must have a working understanding of hospital and/or physician claim requirements for Medicare, Medicaid, and Private health insurance 
• Must be able to prioritize duties and communicate directly with insurance companies, patients, physicians, co-workers and  .   
• Must be a team player and willing to work with all staff to get the overall job accomplished.  Must maintain a cooperative working relationship with all and handle difficult situations tactfully. 
• Experience with Medent or CPSI software preferred. 
• Must have the ability to review and understand written material pertaining to orthopaedics and health care, including terminology and reimbursement issues. 

 

BENEFITS INCLUDE: 

 

• Competitive Wages 

• Medical, Dental, Vision available on the first day of employment 

• Disability, and Life Insurance within 90 days 

• Company-Paid Group Life Insurance, Short-Term Disability & Long-Term Disability 

• Paid Time Off (PTO) 

• 401(k) plan and profit sharing 

• Career Advancement Opportunities 

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.