Job Description

Administrative/ Clerical


Revenue Management

Req Number:

Job Details:


This position is responsible for billing all claims based on third party claim processing rules within established timelines. The billing associate reports to the central business office supervisor or manager.


* Prepares and submits clean claims to insurance companies either electronically or by paper in an accurate, timely and compliant manner.
* Collects and verifies all documentation necessary for timely billing of patient accounts, including requesting and collecting medical records and other documents ensuring the acceptance of the claim.
* Works all reports related to billing, such as work-lists, hold reports, and rejection reports to ensure claims are submitted timely and accurately, per billing guidelines.
* Processes claims for secondary insurance carriers, attaching all required documentation to ensure claims are filed to appropriate payers.
* Understands all payer guidelines related to claim submission; is knowledgeable and proficient with payer websites and other useful resources pertaining to the billing function.
* Focuses daily on complying with policies, processes and department guidelines for billing and claim edit resolution.
* Maintains strict confidentiality and adheres to all HIPAA guidelines/regulations.


* Knowledge of basic medical coding/terminology and third-party insurance operating procedures and practices a plus.
* Knowledge of revenue cycle and/or business office procedures.
* Highly detail oriented and well organized.
* Ability to read, understand and follow oral and written instructions.
* Ability to establish and maintain effective working relationships and communicate clearly with customers and insurance companies both within and outside of Steward.
* Medical billing and coding certification a plus.


I. Education: High School Diploma or GED.
II. Experience (Type & Length): 2-3 years' experience with medical billing/collection; hospital billing experience preferred. Experience within a healthcare consulting firm or large company preferred. Five plus years of relevant work experience.
III. Software/Hardware: Microsoft Office suite; Experience with patient accounting systems and billing/claim submission software; Specific XClaim and/or Meditech experience a plus.

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