Biller III

. Submit hospital medical claims in accordance with federal, state and payer mandated guidelines .

Posted 9/25/2026full-timeRemote • United StatesMid-LevelSenior💰 $24 - $27 per hourWebsite

Key responsibilities & impact

Submit hospital medical claims in accordance with federal, state and payer mandated guidelines
Research, analyze, and review hospital claim errors and rejections and make applicable corrections
Ensure proper hospital claim submission and payment through review and correction of claim edits, errors, and denials
Maintain required knowledge of payer updates and process modifications to ensure accurate claims
Investigate, follow up with payers, and work claims as assigned
Determine reason for non-covered charges and take appropriate action
Perform posting billing adjustments
Ensure billing reroutes are worked timely and comply with company procedures
Escalate stalled hospital claims to manager
Identify and communicate payer specific issues to the team and leadership
Participate and contribute to daily shift briefings
Comply with productivity standards while maintaining quality levels
Work claims for multiple clients and systems
Perform other job duties as assigned

What you’ll need

High school diploma or equivalent required; Associate degree preferred
4+ years of work experience working with health insurance companies in securing payment for medical claims
3+ years of work experience with billing hospital claims and filing appeals with health insurance companies
Experience using clearing houses systems such as Waystar, Quadex, SSi or similar platforms for billing
Proficiency in Microsoft Office Suite, Teams, and various desktop applications
Knowledge of coding guidelines for claim errors
Understanding of Healthcare Revenue Cycle administration rules and regulations
Knowledge of ICD-10 diagnosis and procedure codes as well as CPT/HCPCS codes
Strong investigative skills to identify and resolve reasons for non-payment on medical accounts
Experience using GoToMeeting/Zoom
Ability to make informed decisions and take appropriate action
Ability to adapt easily to change and perform duties with ethical decision-making
Demonstrates accountability, responsibility, and accomplishments in the revenue cycle process
Candidates are subject to criminal background, employment verification, and government exclusion checks as a condition of employment

Comp & perks