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Hospital Inpatient Biller/Collection Specialist
Career Insights for Medical Biller
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Scorecard
Based on Louisiana data
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What they do
A Medical Biller handles payments and financial transactions between health care providers and patients. Manages systems for mailing bills and collecting and recording payments. Works in healthcare facilities and hospitals.
$40,714 / year median in Louisiana
-7% projected decline
Job Description
Hospital Inpatient Biller/Collection Specialist
Department:
Home Office - TCHN
Location:
Baton Rouge, LA The Carpenter Health Network - Restorative's Post Acute Care Division is seeking a Full-Time Hospital Inpatient Biller/Collection Specialist!
We offer you:
Excellent Pay, Complete Benefits Package including: Health, Dental, Vision & Life Insurance, Paid Time Off (PTO), 401-K, and Remarkable Career Advancement Opportunities.
Essential duties and responsibilities include:
Prepare, review, and submit claims accurately and timely.
Monitor claim status through payer portals, clearinghouses, and internal RCM systems.
Investigate, resolve claim rejections, denials, underpayments and payment variances.
Submit corrected claims, appeals, reconsiderations, as necessary.
Post payments/collections to accounts.
Analyze remittance advices and explanation of benefits to identify reimbursement discrepancies.
Perform account receivable follow-up activities to secure payment on outstanding accounts, including patient statements.
Review accounts for appropriate adjustments, write-offs, and contractual allowances.
Document all account activity thoroughly within the billing/RCM system.
Maintain compliance with Medicare, Medicaid, and commercial payer billing regulations.
Requirements:
Minimum 2-year hospital billing and collection experience, required.
Strong understanding of Institutional reimbursement methodologies.
Demonstrated knowledge of Medicare, Medicaid, and other payor guidelines and criteria for reimbursement.
Experienced in UB-04 requirements.
Ability to interpret remittance advises, contracts, and payer correspondence.
Proficiency with clearinghouses and payor portals.
Strong organizational skills with the ability to manage high account AR volumes.
Excellent communication and customer service skills when responding to questions and other inquiries from internal and external customers.
Strong computer and software skills. Exceptional Care. Exceptional People. Only candidates with appropriate experience will be considered. All others need not apply. All inquiries will be kept confidential EOE