<h3><u>Base Pay Range:</u></h3>$21.46 - $32.20<h3><u>Job Description:</u></h3><h3><b><u>Job Description:</u></b></h3><p><b>in the team that delivers a Healthier Bottom Line.</b> Our purpose at <a href="https://himalayas.app/companies/inlandrcm">InlandRCM</a> is to strengthen rural hospitals by providing dependable, all-American revenue cycle expertise that sustains access to quality healthcare in rural communities.</p><h3><b>The Hospital Biller I is a Full Time, Regular position working in several hospital client EMRs such as Epic, Cerner and Meditech Expanse. Hands-on experience in at least one of these hospital EMRs is required, with experience in multiple systems preferred but not required. This position is remote Monday-Friday day shift 8am-5pm PST. This role requires the ability to work efficiently within the EMR to review claim and patient information, identify and resolve claim edits and denials, and follow up directly with insurance payers as needed, while managing work across multiple client accounts in a typical day. Detailed billing and denial scenarios will be discussed during interviews to confirm hands-on practical experience working directly in Epic, Cerner or Meditech Expanse.</b></h3><p><b>Summary: </b>Address large volume of unpaid or incorrectly paid/denied claims to secure reimbursement.</p><p><b>General Description: </b>Performs medical billing functions as related to both institutional and professional claims. Reviews and resolves claim edits and rejections and resubmits clean claims. Reviews unpaid claims, including denials, and appropriately resolves and resubmits adjusted/corrected claims. Researches and/or resolves overpayments/credit balances.</p><p><b>Essential Duties/Responsibilities:</b> To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.</p><p>· Responsible for all phases of billing to government and commercial insurers, including initial billing of clean claims electronically or on paper, subsequent follow up on unpaid claims to the point of payment or resolution of the claim, and resolving credit balances. </p><p>· Prioritizes assigned worklist of aged accounts appropriately and works on aging accounts to their resolution.</p><ul><li><p>Reviews and processes electronic claims, claim edits and deletions appropriately and compliantly.</p></li><li><p>Interprets billing regulations accurately and within federal, state, and third-party billing regulations and policies.</p></li><li><p>Utilizes various client host systems in order to research and rebill claims.</p></li><li><p>Other special projects and duties as assigned.</p></li></ul><h3>General Duties and Responsibilities:</h3><p>· Ability to maintain strict confidential