Billing Representative (Revenue Cycle)

Baylor Scott & White Health is a large not-for-profit healthcare system in Texas focused on promoting the well-being of individuals, families, and communities.

The Billing Representative submits hospital or professional claims to payers including Medicare, Medicaid, Managed Medicare, Managed Medicaid, Managed Care, Commercial, Workers Compensation, and Champus/Tricare.

This role is 100% on campus, working Monday through Friday during daytime hours.

Essential Responsibilities

• Perform code and demographic audits on paper and electronic claims using the billing scrubber, payer edits, and custom edits for accuracy.
• Communicate specific problems or concerns to the manager as appropriate.
• Review electronic claims transmission reports and resolve ECS rejections by correcting them in the system and resubmitting for payment.
• Request or post charge corrections and appropriate credit and debit adjustments to patient accounts.
• Correct patient demographic information when updated information is received.
• Review claims for accuracy and completeness, obtain missing information, and work rejected claims using compliant and ethical billing practices.
• Identify and bill secondary or tertiary insurances as needed.
• Perform other duties as assigned or requested.