Billing Specialist

At The Richland Hospital, our mission is simple: Our Patients Above All Else. We are committed to delivering exceptional service, fostering a culture of respect and teamwork, and supporting our employees through values-based leadership and professional growth opportunities.

Position Summary

The Billing Specialist serves as a staff liaison for account-related questions and performs research regarding transactional details, including payments, adjustments, and account activity. This position reviews Explanation of Benefits (EOBs) and Remittance Advice from payers and calculates and posts payments and adjustments for accounts that meet Medicare/Medicaid Bad Debt criteria.

Principal Duties and Responsibilities Validate patients’ insurance eligibility to ensure accurate claim reimbursement. Monitor claims clearinghouse accounts for edits and rejections and work to resolve and complete claims processing. Assist in the cashier’s office by answering patient questions, accepting payments, and providing backup support as needed.

Review billing statements with patients and provide explanation and support as necessary. Analyze Remittance Advice information, including co-pays, deductibles, co-insurance, contractual adjustments, and other payment details to verify the accuracy of patient balances. Develop a strong understanding of assigned payer processes and reimbursement patterns and assist in identifying payment trends.

Adhere to all Richland Hospital policies, procedures, and standards. Maintain HIPAA compliance and follow all applicable state and federal regulations.

Qualifications

Previous medical billing, healthcare revenue cycle, or related experience preferred. Knowledge of insurance billing, EOBs, claim processing, and remittance advice preferred. Strong analytical, organizational, and problem-solving skills. Excellent customer service and communication abilities. Ability to maintain confidentiality and work effectively in a team environment.

Proficiency with computer systems and billing software. Why Join The Richland Hospital? Competitive salary Comprehensive benefits package Professional development opportunities Supportive, collaborative work environment Values-based leadership Opportunity to make a difference while living our mission: Our Patients Above All Else