Hospital Billing Representative

Essentia Health, headquartered in Duluth, Minn., is an integrated health system serving patients in Minnesota, Wisconsin, North Dakota and Idaho.

Find more than a job. Find more in yourself. Find your calling. Essentia Health seeks employees who embrace our commitment to patient-and family-centered care in communities both large and small. We’re looking for people who are committed to making patients and their families feel known and understood. People who understand what it means to be Here with you. People who are willing to use their strengths to help others.

* Processes paper and electronic claims to payers with full and complete information to satisfy and facilitate the claim for payment. * Produces accurate and timely claims in order to prevent denials and maximize reimbursement. * Responsible for working assigned work queues within the patient accounting system and claim scrubber edits prior to final submission. * Responsible for optimizing the claim submission operations including prospectively reviewing submissions and making corrections to expedite first time payment to the extent possible. He/ she is also responsible for research and communication of payer, HIPAA or other regulatory changes affecting the billing of health insurance claims and making recommendations regarding billing and system operations to improve payment turnaround. * This position works closely with insurance companies, credentialing, access and managed care and other internal and external stakeholders tied to the billing system. * Makes recommendations regarding system changes to improve the revenue cycle process and quality, and works to assist in the development of training. * Position requires high level of customer service skills to establish and enhance positive relationships with patients, colleagues, and others.

* Associate’s degree in Billing and Coding HB Representative program at an accredited school / completion of certificate program in Billing and Coding, or equivalent work experience * Two (2) years experience in healthcare billing preferred * Knowledge of and skill in the use of computers and related systems and software * Skill in good oral, written and interpersonal communication, grammar and spelling * Detail-oriented, good organizational skills, analytical, strong problem solving/investigative skills, and ability to be self-directed * Epic billing knowledge preferred * Knowledge of basic CPT, HCPCS and IDC-9/10 Coding preferred