Billing Rep - CommonSpirit Health

CommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health. With more than 700 care sites across the U.S., from clinics and hospitals to home-based care and virtual care services, CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before. Our communities need caring and our families need protection. With our combined resources, CommonSpirit is committed to building healthy communities, advocating for those who are poor and vulnerable, and innovating how and where healing can happen, both inside our hospitals and out in the community.

• Processes Hospital claims timely and accurately both electronic and hard copy to insurance carriers.
• Resolves various edits within billing software to include: missing/invalid information, CCI edits, incorrect patient information, etc.
• Works closely with H.I.M., Departments and Revenue Integrity to resolve billing issues and ensure that complete diagnosis/procedure codes and modifiers are reported to insurance carriers as required
• Resolves rejections by correcting and resubmitting claims to insurance carriers
• Reviews accounts in designated work queue for resubmission and/or correction 
• Maintains working knowledge of ICD10 and CPT codes
• Reconciles daily late charge report
• Remaining up to date on billing guidelines
• Handling sensitive and confidential information in accordance with HIPAA regulations

• High School Diploma or GED equivalent
• Knowledge of Hospital UB04 
• 1-2 years of medical insurance billing experience (Hospital preferred)
• Working knowledge of HIPAA regulations
• Understanding of EHR and billing software applications
• Experience with Direct Data Entry DDE a plus