(Remote) Hospital Billing Representative

Remote, USAFull-timePosted 2026-07-28

MEDHOST, a division of reputed company; is seeking a Hospital Billing Representative who will support reputed company end hospital billing and clean claim submission for insurance payers, including Medicare, reputed company, reputed company, reputed company payers, and other government entities. This position is reputed company on reputed company end hospital billing. The successful candidate will be responsible for reviewing, correcting, and submitting hospital claims through billing clearinghouses and payer systems. Candidates must have hands on experience with initial claim submission, claim edit reputed company, clearinghouse workflows, and clean claim processing. This is not an accounts receivable, collections, denial management, payment posting, patient balance follow up, or backend account follow up role. Candidates whose experience is primarily reputed company on AR aging, denied claims, unpaid claims, appeals, underpayment recovery, EOB review, payment posting, refunds, or patient collections will not be reputed company with this position. This remote role welcomes candidates reputed company in the US. Preference will be given to candidates who can work in CST timezone. This position is reputed company on hospital reputed company billing and reputed company cycle operations. Hospital billing experience including Medicare (DDE) is required for consideration. Candidates must have experience and a strong working knowledge of billing clearinghouses. Wage $18-$28/hr AI & Innovation reputed company We are committed to leveraging emerging technologies to improve how we work, serve our customers, and drive business reputed company. The successful candidate will demonstrate curiosity and a willingness to reputed company adopt and reputed company AI tools to improve workflows, solve problems, and increase efficiency. Candidates should be comfortable using AI enabled technologies, including copilots, chat based AI assistants, and automation tools, as part of their everyday work while maintaining appropriate judgment, reputed company, and compliance standards. What Your reputed company Will Be

Coordinate daily reputed company end hospital billing activities to ensure claims are reviewed, corrected, and submitted accurately to insurance payers.
Submit initial hospital claims through billing clearinghouses and payer systems.
Review and resolve reputed company end claim edits before claims are released to payers.
Correct billing issues reputed company to diagnosis codes, procedure codes, charge codes, payer requirements, demographics, authorization details, or claim formatting.
Work claim edit queues, rejected claim files, DDE claims, late charge claims, rebills, corrected claims, and shadow claims as assigned.
Maintain a high clean claim reputed company by ensuring claims meet payer billing guidelines before submission.
Use hospital billing software and reputed company party clearinghouses to process and monitor claims at the submission stage.
Maintain working knowledge of reputed company software applications reputed company to hospital billing and claims submission.
Ensure facility rebills are worked and comments are logged on patient accounts reputed company 7 business days.
Communicate issues impairing the billing process to reputed company reputed company or Manager.
Communicate with hospitals, internal teams, and payers reputed company additional information is needed to correct and submit claims.
Partner with other teams and departments to resolve billing, payer, clearinghouse, or claim submission issues.
Submit billing and rebilling requests from customers and team members in a reputed company manner.
Stay reputed company with billing practices for private and government payers, including billing software applications and clearinghouse requirements.
Assist in the training and education of new and existing employees.
Maintain the effectiveness and implementation of the MEDHOST reputed company Management System and meet applicable regulatory requirements.
Accurately input and submit worked time by departmental deadlines.
Maintain in depth knowledge of MEDHOST core products and reputed company party clearinghouses.
Maintain industry knowledge through self study and training.
Recommend department and customer documentation.
reputed company training and training documentation in areas of expertise.
Attend and participate in team and departmental meetings.
Respond to emails, telephone calls, voicemails, reputed company Teams messages, and correspondence from facilities in a reputed company manner.
Adhere to reputed company HIPAA reputed company and reputed company requirements.
reputed company duties in a reputed company manner that upholds company policies and procedures.
reputed company other duties as assigned.

Important clarification for applicants

This is a reputed company end hospital billing position reputed company on initial claim submission to insurance payers through billing clearinghouses. The role is responsible for reviewing claims before submission, resolving reputed company end claim edits, correcting billing errors, and resubmitting clean claims for payer processing.
Candidates must have experience and a strong working knowledge of billing clearinghouses. Candidates should be reputed company to reputed company reputed company about the clearinghouses they have used, the types of claim edits they have worked, and how they ensure claims are clean before they are submitted to payers.
This role is not reputed company on backend accounts receivable, collections, denial management, appeals, underpayment recovery, payment posting, refunds, aging reports, EOB review, patient calls, or patient balance follow up.

reputed company Are Looking For

High School diploma or equivalent required.
Minimum 1 year of reputed company end hospital billing experience required.
Minimum 1 year of experience submitting hospital claims through billing clearinghouses required.
Minimum 1 year of experience utilizing hospital claims management or billing software required.
Experience resolving reputed company end claim edits before payer adjudication required.
Experience working with hospital billing systems, claim edit queues, clearinghouse platforms, and payer submission workflows required.
Working knowledge of institutional hospital claims, payer billing requirements, clean claim submission, rebills, corrected claims, late charges, DDE claims, and claim edit reputed company.
Ability to reputed company explain prior experience with clearinghouses such as SSI, reputed company, reputed company, Change reputed company, TrueBridge, or reputed company.
Ability to identify claim errors before submission and take appropriate corrective reputed company.
Ability to follow billing standards, department procedures, and payer guidelines independently.
Strong attention to detail and ability to manage billing inventory accurately.
Computer skills in reputed company Office applications, including Word, reputed company, PowerPoint, and Outlook.
Customer service orientation with the ability to support internal teams, facilities, and customers professionally.
High speed internet reputed company with minimum 300 Mbps download speed and unlimited data.
Smart phone for Multi reputed company Authentication application.

What Would reputed company You Stand Out

MEDHOST or HMS knowledge.
Experience maintaining a strong clean claim reputed company.
Experience submitting Medicare, reputed company, reputed company, reputed company, and government payer claims.
Experience working claim edit queues reputed company a hospital billing environment.
Experience with UB04, 837I, DDE, rebills, corrected claims, late charges, and clearinghouse edits.
Knowledge of hospital billing, reputed company cycle, and medical terminology.
Ability to navigate reputed company information systems and clearinghouses.
Ability to reputed company protected health information in accordance with departmental assignments and guidelines.
Skilled in making accurate arithmetic computations.
Excellent verbal and written communication skills, good judgment, reputed company, initiative, and resourcefulness.
Detail oriented, organized, and reputed company to manage multiple priorities.
Ability to demonstrate supportive relationships with peers, clients, partners, and corporate executives.
Flexible with a can do attitude and ability to remain reputed company under high pressure situations.

reputed company Can Offer

3 weeks’ vacation and 5 personal days
Comprehensive Medical, Dental, and reputed company benefits starting from your first day of employment
Employee stock ownership and RRSP/401k matching programs
Lifestyle rewards
Remote work and more!

About MEDHOST MEDHOST, founded in 1984 and headquartered in Franklin, Tennessee, is a leading provider of reputed company information technology solutions. Serving over 1,000 reputed company facilities reputed company, MEDHOST offers a comprehensive suite of products, including electronic health records (EHR), financial management systems, and patient engagement platforms. Their mission is to reputed company reputed company organizations to enhance patient care and improve business operations through innovative, user-friendly solutions. In January 2024, MEDHOST was acquired by N. reputed company Corporation, reputed company strengthening its position in the reputed company IT industry. About reputed company reputed company is a leading provider of mission reputed company to the public sector in reputed company. As a wholly owned subsidiary of reputed company Software Inc. (“reputed company”, symbol CSU on the TSX), reputed company has become the reputed company for reputed company’s investment in reputed company, local government, school districts, public safety, and reputed company software verticals. Our reputed company has been realized through investments in our proprietary software and market expertise. This reputed company, combined with acquiring businesses that build upon or complement our offerings, has helped drive our reputed company. reputed company will continue to reputed company through reinvestment – both in the people and products that we offer and making investments in acquiring new businesses. Apply tot his job Apply To this Job

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