The Billing and Posting Representative is responsible for accurate and timely billing of hospital and Rural Health Clinic (RHC) claims to insurance payers
Job Summary
The Billing and Posting Representative is responsible for accurate and timely billing of hospital and Rural Health Clinic (RHC) claims to insurance payers.
This role focuses heavily on denial management, claim follow-up, and reimbursement optimization while ensuring compliance with payer contracts, federal regulations, and internal policies.
Key responsibilities include preparing, reviewing, and submitting claims, analyzing and resolving denials, and conducting timely follow-up with payers on unpaid claims.
Matching Summary
The Billing and Posting Representative is responsible for accurate and timely billing of hospital and Rural Health Clinic (RHC) claims to insurance payers.
Skills & Requirements
Must-have
Hospital and RHC billing processes
Insurance billing and denial resolution
CPT, ICD-10-CM, HCPCS, modifiers
Payer portals and claim management systems
High-volume workload management
Attention to detail
Nice-to-have
Analytical and organizational skills
Timely reimbursement focus
Process improvement recommendations
Key Requirements
Knowledge of hospital and RHC billing processes
Strong experience with insurance billing and denial resolution
Proficiency in CPT, ICD-10-CM, HCPCS, and modifiers
Familiarity with payer portals and claim management systems
Strong analytical, organizational, and follow-up skills
Ability to manage high-volume workloads with attention to detail