Hospital Billing Representative Job Responsibilities:

1. Receives and verifies documents required for hospital billing and follow-up purposes. MassHealth experience a plus.

2. Processes hospital billing for primary, secondary, and tertiary claims according to respective regulations and policies.

3. Corresponds with third-party representatives, as necessary, to complete claims processing and/or resolve problem claims.

4. Responds to patient and third-party inquiries via the telephone or written correspondence in a timely manner.

5. Interfaces with other departments within the hospital, when appropriate, to obtain information necessary to process or resolve claims.

6. Follows up daily on post-processing activity including, but not limited to, rejected billings, adjustments, re-billing, and unpaid claims.

7. Maintains accounts receivable detail by use of on-line system documentation.

8. Informs and/or seeks assistance from the manager with problems or unusual occurrences.

Hospital Billing Representative Job Requirements:

1. 1-3 years of related work experience with hospital billing procedures and Epic systems.

2. Knowledge of basic math and business procedures, normally acquired in high school, to analyze bills.

3. Ability to organize and plan tasks for timely completion.

4. Good verbal and written communication skills.