Essential Duties and Responsibilities These duties and responsibilities described below represent the general tasks performed on a daily basis; other tasks may be assigned. + Submit Inpatient/Outpatient electronic and paper claims (UB-04 and 1500) to the appropriate government and non-government payers. + Understand how to resolve Billing errors and/or warnings that are identified in the Patient Accounting and Billing System. + Keep abreast of payer-specific and government requirements and regulations. + Ensures claim information is complete and accurate in order to accelerate cash collections. + Analyze information contained within the Patient Accounting and Billing system to make decisions on how to proceed with the billing of an account. + Processes rejections by correcting any billing error and resubmitting claims to government and non-government payers. + Place unbillable claims on hold and properly communicate to various Hospital departments the information needed to accurately bill. + Process late charge claims in the event that charges are not entered in a timely fashion by Hospital Departments. + Submit corrected claims in the event that the original claim information has changed for various reasons. + Perform the billing of complex scenarios such as interim, self-audit, combined, and split billing etc. + Limit the number of unreleased claims by reviewing all imported claims and either billing or holding the claim for further review. + Meet Billing productivity and quality requirements as developed by Leadership. + Measured on high production levels, quality of work output, in compliance with established CRH’s policy and standards. + Record or generate revenue by gathering and processing information that impacts the patient revenue process. + Review patient financial records and/or claims prior to submission to ensure payer-specific requirements are met. Education and Experience Minimum Required Education: High school diploma or equivalent Preferred Education: College courses or associate’s degree Experience: 3+ years as a Hospital Biller or Follow-up representative preferred