MEDHOST, a division of Harris, is seeking a Hospital Billing Representative to support front-end hospital billing and clean claim submission for insurance payers, including Medicare, Medicaid, Blue Cross, commercial payers, and other government entities.
This role focuses on reviewing, correcting, and submitting hospital claims through billing clearinghouses and payer systems. The position is responsible for resolving front-end claim edits, maintaining clean claim rates, and ensuring claims are ready for payer processing. It is not focused on accounts receivable, collections, denial management, payment posting, appeals, refunds, or patient balance follow-up.
This is a remote role open to candidates anywhere in the U.S., with preference for candidates who can work in CST hours.
Required experience and qualifications
- High school diploma or equivalent
- At least 1 year of front-end hospital billing experience
- At least 1 year of experience submitting hospital claims through billing clearinghouses
- At least 1 year of experience using hospital claims management or billing software
- Experience resolving front-end claim edits before payer adjudication
- Experience with hospital billing systems, claim edit queues, clearinghouse platforms, and payer submission workflows
- Working knowledge of institutional hospital claims, clean claim submission, rebills, corrected claims, late charges, DDE claims, and claim edit resolution
- Ability to explain prior experience with clearinghouses such as SSI, Availity, Waystar, Change Healthcare, TrueBridge, or Quadax
- Strong attention to detail and the ability to manage billing inventory accurately
- Proficiency with Microsoft Word, Excel, PowerPoint, and Outlook
- Customer service orientation and professional communication skills
- High-speed internet access with at least 300 Mbps download speed and unlimited data
- Smartphone for multi-factor authentication
Preferred qualifications
- MEDHOST or HMS knowledge
- Experience maintaining a strong clean claim rate
- Experience with Medicare, Medicaid, Blue Cross, commercial, and government payer claims
- Experience with UB04, 837I, DDE, rebills, corrected claims, late charges, and clearinghouse edits
- Knowledge of hospital billing, revenue cycle, and medical terminology
- 3 weeks of vacation and 5 personal days
- Medical, dental, and vision benefits starting on day one
- Employee stock ownership and RRSP/401(k) matching programs
- Lifestyle rewards
- Remote work
Location
Illinois, US
Employment Type
Full-time
Experience Level
Entry Level
Remote work allowed
Yes
Posted
1 month ago