Medical Billing Specialist

Cloudmed • Full-time • Remote (California, United States, US) • 1w ago

R1 is the leading provider of technology-driven solutions that transform the patient experience and financial performance of hospitals, health systems and medical groups. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry’s most advanced technology platform, encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration.

As our Billing Specialist, you will help the Billing department straighten up claims and prepare them to be submitted so that they can be sent out to various insurance payers, ensuring timely reimbursement. Every day you will, utilize EPIC software for managing hospital billing processes and maintaining accurate patient records, handle billing for acute care services, ensuring compliance with all relevant regulations and payer requirements, and conduct thorough edits on UB-04 claims to ensure they meet payer-specific guidelines and standards. To thrive in this role you must, have a strong background in cleaning up claims and sending them out, as well as comprehensive knowledge of the EPIC system, experience with acute hospital billing, and UB claim edits. Also, expertise in Medicare billing and Direct Data Entry (DDE) is essential.

Here’s what you will experience working as a Billing Specialist II:

You will Review, correct, and finalize claims to ensure accuracy before submission.
Efficiently process and send out claims to various insurance payers, ensuring timely reimbursement.
You will utilize EPIC software for managing hospital billing processes and maintaining accurate patient records.
You will handle billing for acute care services, ensuring compliance with all relevant regulations and payer requirements.
Conduct thorough edits on UB-04 claims to ensure they meet payer-specific guidelines and standards.

What We Are Looking For

Proven experience in hospital billing, particularly within an acute care setting.
Strong understanding of UB-04 claim forms and the ability to perform detailed edits.
In-depth knowledge of Medicare billing processes and familiarity with the DDE system.

Required Skills

High School Diploma or equivalent (GED)
2 years of acute hospital billing

For this US-based position, the base pay range is $14.69 - $21.27 per hour . Individual pay is determined by role, level, location, job-related skills, experience, and relevant education or training.

The healthcare system is always evolving — and it’s up to us to use our shared expertise to find new solutions that can keep up. On our growing team you’ll find the opportunity to constantly learn, collaborate across groups and explore new paths for your career.

Our associates are given the chance to contribute, think boldly and create meaningful work that makes a difference in the communities we serve around the world. We go beyond expectations in everything we do. Not only does that drive customer success and improve patient care, but that same enthusiasm is applied to giving back to the community and taking care of our team — including offering a competitive benefits package.

R1 RCM Inc. (“the Company”) is dedicated to the fundamentals of equal employment opportunity. The Company’s employment practices , including those regarding recruitment, hiring, assignment, promotion, compensation, benefits, training, discipline, and termination shall not be based on any person’s age, color, national origin, citizenship status, physical or mental disability, medical condition, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status or any other characteristic protected by federal, state or local law. Furthermore, the Company is dedicated to providing a workplace free from harassment based on any of the foregoing protected categories.

If you have a disability and require a reasonable accommodation to complete any part of the job application process, please contact us at 312-496-7709 for assistance.

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To learn more, visit: R1RCM.com

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