{"schemaVersion":"jobsearcher.job.v1","id":"4fdabc475be47b0a7f037e41","url":"https://jobsearcher.com/jobs/4fdabc475be47b0a7f037e41","canonicalUrl":"https://jobsearcher.com/jobs/4fdabc475be47b0a7f037e41","title":"(Remote) Hospital Billing Representative","description":"MEDHOST, a division of Harris; is seeking a Hospital Billing Representative who will support front end hospital billing and clean claim submission for insurance payers, including Medicare, Medicaid, Blue Cross, commercial payers, and other government entities.\n\nThis position is focused on front end hospital billing. The successful candidate will be responsible for reviewing, correcting, and submitting hospital claims through billing clearinghouses and payer systems. Candidates must have hands on experience with initial claim submission, claim edit resolution, clearinghouse workflows, and clean claim processing.\n\nThis is not an accounts receivable, collections, denial management, payment posting, patient balance follow up, or backend account follow up role. Candidates whose experience is primarily focused on AR aging, denied claims, unpaid claims, appeals, underpayment recovery, EOB review, payment posting, refunds, or patient collections will not be aligned with this position.\n\nThis remote role welcomes candidates anywhere in the US. Preference will be given to candidates who can work in CST timezone.\n\nThis position is focused on hospital FRONT billing and revenue cycle operations. Hospital billing experience including Medicare (DDE) is required for consideration. Candidates must have experience and a strong working knowledge of billing clearinghouses.\n\nWage:\n\n$18-$28/hr\n\nAI & Innovation Mindset\n\nWe are committed to leveraging emerging technologies to improve how we work, serve our customers, and drive business outcomes. The successful candidate will demonstrate curiosity and a willingness to actively adopt and leverage AI tools to improve workflows, solve problems, and increase efficiency. Candidates should be comfortable using AI enabled technologies, including copilots, chat based AI assistants, and automation tools, as part of their everyday work while maintaining appropriate judgment, security, and compliance standards.\n\nWhat your impact will be:\n\nCoordinate daily front end hospital billing activities to ensure claims are reviewed, corrected, and submitted accurately to insurance payers.\n\nSubmit initial hospital claims through billing clearinghouses and payer systems.\n\nReview and resolve front end claim edits before claims are released to payers.\n\nCorrect billing issues related to diagnosis codes, procedure codes, charge codes, payer requirements, demographics, authorization details, or claim formatting.\n\nWork claim edit queues, rejected claim files, DDE claims, late charge claims, rebills, corrected claims, and shadow claims as assigned.\n\nMaintain a high clean claim rate by ensuring claims meet payer billing guidelines before submission.\n\nUse hospital billing software and third party clearinghouses to process and monitor claims at the submission stage.\n\nMaintain working knowledge of all software applications related to hospital billing and claims submission.\n\nEnsure facility rebills are worked and comments are logged on patient accounts within 7 business days.\n\nCommunicate issues impairing the billing process to the Team Lead or Manager.\n\nCommunicate with hospitals, internal teams, and payers when additional information is needed to correct and submit claims.\n\nPartner with other teams and departments to resolve billing, payer, clearinghouse, or claim submission issues.\n\nSubmit billing and rebilling requests from customers and team members in a timely manner.\n\nStay current with billing practices for private and government payers, including billing software applications and clearinghouse requirements.\n\nAssist in the training and education of new and existing employees.\n\nMaintain the effectiveness and implementation of the MEDHOST Quality Management System and meet applicable regulatory requirements.\n\nAccurately input and submit worked time by departmental deadlines.\n\nMaintain in depth knowledge of MEDHOST core products and third party clearinghouses.\n\nMaintain industry knowledge through self study and training.\n\nRecommend department and customer documentation.\n\nProvide training and training documentation in areas of expertise.\n\nAttend and participate in team and departmental meetings.\n\nRespond to emails, telephone calls, voicemails, Microsoft Teams messages, and correspondence from facilities in a timely manner.\n\nAdhere to all HIPAA Privacy and Security requirements.\n\nPerform duties in a positive manner that upholds company policies and procedures.\n\nPerform other duties as assigned.\n\nImportant clarification for applicants\n\nThis is a front end hospital billing position focused on initial claim submission to insurance payers through billing clearinghouses. The role is responsible for reviewing claims before submission, resolving front end claim edits, correcting billing errors, and resubmitting clean claims for payer processing.\n\nCandidates must have experience and a strong working knowledge of billing clearinghouses. Candidates should be able to speak clearly about the clearinghouses they have used, the types of claim edits they have worked, and how they ensure claims are clean before they are submitted to payers.\n\nThis role is not focused on backend accounts receivable, collections, denial management, appeals, underpayment recovery, payment posting, refunds, aging reports, EOB review, patient calls, or patient balance follow up.\n\nWhat we are looking for:\n\nHigh School diploma or equivalent required.\n\nMinimum 1 year of front end hospital billing experience required.\n\nMinimum 1 year of experience submitting hospital claims through billing clearinghouses required.\n\nMinimum 1 year of experience utilizing hospital claims management or billing software required.\n\nExperience resolving front end claim edits before payer adjudication required.\n\nExperience working with hospital billing systems, claim edit queues, clearinghouse platforms, and payer submission workflows required.\n\nWorking knowledge of institutional hospital claims, payer billing requirements, clean claim submission, rebills, corrected claims, late charges, DDE claims, and claim edit resolution.\n\nAbility to clearly explain prior experience with clearinghouses such as SSI, Availity, Waystar, Change Healthcare, TrueBridge, or Quadax.\n\nAbility to identify claim errors before submission and take appropriate corrective action.\n\nAbility to follow billing standards, department procedures, and payer guidelines independently.\n\nStrong attention to detail and ability to manage billing inventory accurately.\n\nComputer skills in Microsoft Office applications, including Word, Excel, PowerPoint, and Outlook.\n\nCustomer service orientation with the ability to support internal teams, facilities, and customers professionally.\n\nHigh speed internet access with minimum 300 Mbps download speed and unlimited data.\n\nSmart phone for Multi Factor Authentication application.\n\nWhat would make you stand out:\n\nMEDHOST or HMS knowledge.\n\nExperience maintaining a strong clean claim rate.\n\nExperience submitting Medicare, Medicaid, Blue Cross, commercial, and government payer claims.\n\nExperience working claim edit queues within a hospital billing environment.\n\nExperience with UB04, 837I, DDE, rebills, corrected claims, late charges, and clearinghouse edits.\n\nKnowledge of hospital billing, revenue cycle, and medical terminology.\n\nAbility to navigate healthcare information systems and clearinghouses.\n\nAbility to access protected health information in accordance with departmental assignments and guidelines.\n\nSkilled in making accurate arithmetic computations.\n\nExcellent verbal and written communication skills, good judgment, tact, initiative, and resourcefulness.\n\nDetail oriented, organized, and able to manage multiple priorities.\n\nAbility to demonstrate supportive relationships with peers, clients, partners, and corporate executives.\n\nFlexible with a can do attitude and ability to remain professional under high pressure situations.\n\nWhat we can offer:\n\n3 weeks’ vacation and 5 personal days\n\nComprehensive Medical, Dental, and Vision benefits starting from your first day of employment\n\nEmployee stock ownership and RRSP/401k matching programs\n\nLifestyle rewards\n\nRemote work and more!\n\nAbout MEDHOST:\n\nMEDHOST, founded in 1984 and headquartered in Franklin, Tennessee, is a leading provider of healthcare information technology solutions. Serving over 1,000 healthcare facilities nationwide, MEDHOST offers a comprehensive suite of products, including electronic health records (EHR), financial management systems, and patient engagement platforms. Their mission is to empower healthcare organizations to enhance patient care and improve business operations through innovative, user-friendly solutions. In January 2024, MEDHOST was acquired by N. Harris Computer Corporation, further strengthening its position in the healthcare IT industry.\n\nAbout Harris:\n\nHarris is a leading provider of mission critical software to the public sector in North America. As a wholly owned subsidiary of Constellation Software Inc. (“CSI”, symbol CSU on the TSX), Harris has become the cornerstone for CSI’s investment in utility, local government, school districts, public safety, and healthcare software verticals. Our success has been realized through investments in our proprietary software and market expertise. This focus, combined with acquiring businesses that build upon or complement our offerings, has helped drive our success. Harris will continue to growth through reinvestment – both in the people and products that we offer and making investments in acquiring new businesses.\n\n#LI-remote","company":"Harriscomputer2","rawCompany":"harriscomputer2","isRemote":true,"isActive":false,"createdAt":"2026-08-23T09:25:48.848Z","occupations":[{"code":"43-3021.00","title":"Billing and Posting Clerks","slug":"billing-and-posting-clerks"},{"code":"43-6013.00","title":"Medical Secretaries and Administrative Assistants","slug":"medical-secretaries-and-administrative-assistants"},{"code":"29-2072.00","title":"Medical Records Specialists","slug":"medical-records-specialists"}],"industries":[{"code":"622110","title":"General Medical and Surgical Hospitals","slug":"general-medical-and-surgical-hospitals"},{"code":"622310","title":"Specialty (except Psychiatric and Substance Abuse) Hospitals","slug":"specialty-except-psychiatric-and-substance-abuse-hospitals"},{"code":"621999","title":"All Other Miscellaneous Ambulatory Health Care Services","slug":"all-other-miscellaneous-ambulatory-health-care-services"}],"jobPosting":{"@context":"https://schema.org","@type":"JobPosting","title":"(Remote) Hospital Billing Representative","description":"MEDHOST, a division of Harris; is seeking a Hospital Billing Representative who will support front end hospital billing and clean claim submission for insurance payers, including Medicare, Medicaid, Blue Cross, commercial payers, and other government entities.\n\nThis position is focused on front end hospital billing. The successful candidate will be responsible for reviewing, correcting, and submitting hospital claims through billing clearinghouses and payer systems. Candidates must have hands on experience with initial claim submission, claim edit resolution, clearinghouse workflows, and clean claim processing.\n\nThis is not an accounts receivable, collections, denial management, payment posting, patient balance follow up, or backend account follow up role. Candidates whose experience is primarily focused on AR aging, denied claims, unpaid claims, appeals, underpayment recovery, EOB review, payment posting, refunds, or patient collections will not be aligned with this position.\n\nThis remote role welcomes candidates anywhere in the US. Preference will be given to candidates who can work in CST timezone.\n\nThis position is focused on hospital FRONT billing and revenue cycle operations. Hospital billing experience including Medicare (DDE) is required for consideration. Candidates must have experience and a strong working knowledge of billing clearinghouses.\n\nWage:\n\n$18-$28/hr\n\nAI & Innovation Mindset\n\nWe are committed to leveraging emerging technologies to improve how we work, serve our customers, and drive business outcomes. The successful candidate will demonstrate curiosity and a willingness to actively adopt and leverage AI tools to improve workflows, solve problems, and increase efficiency. Candidates should be comfortable using AI enabled technologies, including copilots, chat based AI assistants, and automation tools, as part of their everyday work while maintaining appropriate judgment, security, and compliance standards.\n\nWhat your impact will be:\n\nCoordinate daily front end hospital billing activities to ensure claims are reviewed, corrected, and submitted accurately to insurance payers.\n\nSubmit initial hospital claims through billing clearinghouses and payer systems.\n\nReview and resolve front end claim edits before claims are released to payers.\n\nCorrect billing issues related to diagnosis codes, procedure codes, charge codes, payer requirements, demographics, authorization details, or claim formatting.\n\nWork claim edit queues, rejected claim files, DDE claims, late charge claims, rebills, corrected claims, and shadow claims as assigned.\n\nMaintain a high clean claim rate by ensuring claims meet payer billing guidelines before submission.\n\nUse hospital billing software and third party clearinghouses to process and monitor claims at the submission stage.\n\nMaintain working knowledge of all software applications related to hospital billing and claims submission.\n\nEnsure facility rebills are worked and comments are logged on patient accounts within 7 business days.\n\nCommunicate issues impairing the billing process to the Team Lead or Manager.\n\nCommunicate with hospitals, internal teams, and payers when additional information is needed to correct and submit claims.\n\nPartner with other teams and departments to resolve billing, payer, clearinghouse, or claim submission issues.\n\nSubmit billing and rebilling requests from customers and team members in a timely manner.\n\nStay current with billing practices for private and government payers, including billing software applications and clearinghouse requirements.\n\nAssist in the training and education of new and existing employees.\n\nMaintain the effectiveness and implementation of the MEDHOST Quality Management System and meet applicable regulatory requirements.\n\nAccurately input and submit worked time by departmental deadlines.\n\nMaintain in depth knowledge of MEDHOST core products and third party clearinghouses.\n\nMaintain industry knowledge through self study and training.\n\nRecommend department and customer documentation.\n\nProvide training and training documentation in areas of expertise.\n\nAttend and participate in team and departmental meetings.\n\nRespond to emails, telephone calls, voicemails, Microsoft Teams messages, and correspondence from facilities in a timely manner.\n\nAdhere to all HIPAA Privacy and Security requirements.\n\nPerform duties in a positive manner that upholds company policies and procedures.\n\nPerform other duties as assigned.\n\nImportant clarification for applicants\n\nThis is a front end hospital billing position focused on initial claim submission to insurance payers through billing clearinghouses. The role is responsible for reviewing claims before submission, resolving front end claim edits, correcting billing errors, and resubmitting clean claims for payer processing.\n\nCandidates must have experience and a strong working knowledge of billing clearinghouses. Candidates should be able to speak clearly about the clearinghouses they have used, the types of claim edits they have worked, and how they ensure claims are clean before they are submitted to payers.\n\nThis role is not focused on backend accounts receivable, collections, denial management, appeals, underpayment recovery, payment posting, refunds, aging reports, EOB review, patient calls, or patient balance follow up.\n\nWhat we are looking for:\n\nHigh School diploma or equivalent required.\n\nMinimum 1 year of front end hospital billing experience required.\n\nMinimum 1 year of experience submitting hospital claims through billing clearinghouses required.\n\nMinimum 1 year of experience utilizing hospital claims management or billing software required.\n\nExperience resolving front end claim edits before payer adjudication required.\n\nExperience working with hospital billing systems, claim edit queues, clearinghouse platforms, and payer submission workflows required.\n\nWorking knowledge of institutional hospital claims, payer billing requirements, clean claim submission, rebills, corrected claims, late charges, DDE claims, and claim edit resolution.\n\nAbility to clearly explain prior experience with clearinghouses such as SSI, Availity, Waystar, Change Healthcare, TrueBridge, or Quadax.\n\nAbility to identify claim errors before submission and take appropriate corrective action.\n\nAbility to follow billing standards, department procedures, and payer guidelines independently.\n\nStrong attention to detail and ability to manage billing inventory accurately.\n\nComputer skills in Microsoft Office applications, including Word, Excel, PowerPoint, and Outlook.\n\nCustomer service orientation with the ability to support internal teams, facilities, and customers professionally.\n\nHigh speed internet access with minimum 300 Mbps download speed and unlimited data.\n\nSmart phone for Multi Factor Authentication application.\n\nWhat would make you stand out:\n\nMEDHOST or HMS knowledge.\n\nExperience maintaining a strong clean claim rate.\n\nExperience submitting Medicare, Medicaid, Blue Cross, commercial, and government payer claims.\n\nExperience working claim edit queues within a hospital billing environment.\n\nExperience with UB04, 837I, DDE, rebills, corrected claims, late charges, and clearinghouse edits.\n\nKnowledge of hospital billing, revenue cycle, and medical terminology.\n\nAbility to navigate healthcare information systems and clearinghouses.\n\nAbility to access protected health information in accordance with departmental assignments and guidelines.\n\nSkilled in making accurate arithmetic computations.\n\nExcellent verbal and written communication skills, good judgment, tact, initiative, and resourcefulness.\n\nDetail oriented, organized, and able to manage multiple priorities.\n\nAbility to demonstrate supportive relationships with peers, clients, partners, and corporate executives.\n\nFlexible with a can do attitude and ability to remain professional under high pressure situations.\n\nWhat we can offer:\n\n3 weeks’ vacation and 5 personal days\n\nComprehensive Medical, Dental, and Vision benefits starting from your first day of employment\n\nEmployee stock ownership and RRSP/401k matching programs\n\nLifestyle rewards\n\nRemote work and more!\n\nAbout MEDHOST:\n\nMEDHOST, founded in 1984 and headquartered in Franklin, Tennessee, is a leading provider of healthcare information technology solutions. Serving over 1,000 healthcare facilities nationwide, MEDHOST offers a comprehensive suite of products, including electronic health records (EHR), financial management systems, and patient engagement platforms. Their mission is to empower healthcare organizations to enhance patient care and improve business operations through innovative, user-friendly solutions. In January 2024, MEDHOST was acquired by N. Harris Computer Corporation, further strengthening its position in the healthcare IT industry.\n\nAbout Harris:\n\nHarris is a leading provider of mission critical software to the public sector in North America. As a wholly owned subsidiary of Constellation Software Inc. (“CSI”, symbol CSU on the TSX), Harris has become the cornerstone for CSI’s investment in utility, local government, school districts, public safety, and healthcare software verticals. Our success has been realized through investments in our proprietary software and market expertise. This focus, combined with acquiring businesses that build upon or complement our offerings, has helped drive our success. Harris will continue to growth through reinvestment – both in the people and products that we offer and making investments in acquiring new businesses.\n\n#LI-remote","datePosted":"2026-08-23T09:25:48.848Z","dateModified":"2026-08-23T09:25:48.848Z","hiringOrganization":{"@type":"Organization","name":"Harriscomputer2","sameAs":"https://jobsearcher.com"},"jobLocationType":"TELECOMMUTE","applicantLocationRequirements":{"@type":"Country","name":"US"},"identifier":{"@type":"PropertyValue","name":"JobSearcher","value":"4fdabc475be47b0a7f037e41"},"url":"https://jobsearcher.com/jobs/4fdabc475be47b0a7f037e41"}}