Hospital Biller - Medicare DDE
Core
Acts as a liaison for hospitals and clinics to bill insurance companies for hospital, physician, and clinic bills, pursuing collections until payment is made.
Role type
Hospital billing specialist (Medicare DDE)
Builds
Insurance claims and collections for hospital-based services
Domain
Healthcare administration / Medical billing
Deliverable
client delivery
Required skills
Medicare billing, UB-04 and CMS-1500 forms, CPT and ICD-10 coding, medical terminology, EOB interpretation, denial management, claim appeals, data confidentiality
Preferred skills
Experience with high-profile customers, multi-tasking
Technologies
TruBridge platform, electronic billing systems
Responsibilities
Prepare and submit hospital and physician claims to third-party insurance carriers; secure medical documentation; follow up on unpaid claims; process claim rejections and resubmit; meet production and quality assurance standards; interpret Explanation of Benefits (EOB); manage denial appeals to ensure maximum reimbursement; review late charge reports and credit reports; resolve billing obstacles with supervisors.
Seniority
Individual Contributor, operational level