Medical Hospital Billing Specialist
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Job Location:
Wichita, KS - USA
Monthly Salary:
Not Disclosed
Posted on:
Yesterday
Vacancies:
1 Vacancy
Job Summary
Job Title: Medical Hospital Billing Specialist
Location:On-site / Hybrid / Remote
Department: Revenue Cycle / Patient Financial Services
Employment Type:Full-Time
Position Summary
The Medical Hospital Billing Specialist is responsible for accurate and timely billing of hospital services to insurance payers and patients. This role plays a critical part in the revenue cycle by ensuring claims are submitted correctly payments are posted appropriately and accounts are resolved efficiently while maintaining compliance with payer and regulatory requirements.
Key Responsibilities
Prepare review and submit hospital claims (inpatient outpatient and/or ancillary services) to commercial Medicare and Medicaid payers
Verify patient insurance coverage authorizations and benefits as needed
Ensure accurate charge capture coding validation and modifier usage prior to claim submission
Monitor claim status and follow up on unpaid denied or underpaid claims
Research and resolve claim denials payment variances and payer rejections
Post payments adjustments and contractual allowances accurately
Maintain detailed account notes and documentation in the billing system
Communicate effectively with payers patients and internal departments to resolve billing issues
Stay current on payer guidelines billing regulations and compliance requirements
Meet productivity and accuracy standards established by the department
Qualifications
High school diploma or equivalent required; associates degree preferred
Minimum of 13 years of hospital billing experience required
Strong knowledge of hospital billing processes UB-04 claims and payer guidelines
Familiarity with CPT HCPCS ICD-10 coding concepts
Experience with Medicare Medicaid and commercial insurance payers
Proficiency with electronic health records (EHR) and billing systems
Strong attention to detail and analytical skills
Ability to manage multiple priorities and work independently
Excellent written and verbal communication skills
Preferred Qualifications
Experience in inpatient and outpatient hospital billing
Knowledge of denial management and appeals
Familiarity with revenue cycle metrics and AR follow-up workflows
Certification such as CPB CPC or equivalent (preferred but not required)
Work Environment & Benefits
Collaborative fast-paced healthcare environment
Competitive compensation based on experience
Comprehensive benefits package including medical dental vision PTO and retirement options
Opportunities for professional growth and continuing education
**Applicants must be legally authorized to work in the United States. We are unable to sponsor or take over sponsorship of an employment visa at this time.
Required Experience:
Senior IC
Key Skills
- Medical Collection
- Accounts Receivable
- Athenahealth
- ICD-10
- Medical Coding
- 10 Key Calculator
- Detailing
- ICD-9
- Medical Billing
- Microsoft Excel
- CPT Coding
- Medicare
About Company
Trajectory optimizes healthcare cash flow through integration of both business office processes and clinical documentation. We have a proven track record of reducing both AR days and denials, while simultaneously increasing the number and percentage of self-pay collections.
