Hospital Billing Specialist

• Process claims, manage accounts receivable, and maintain documentation in compliance with payer guidelines and OCHIN systems
• Investigate and resolve claim denials, identify trends, and contribute to process improvements that enhance reimbursement outcomes
• Communicate with team members and stakeholders to clarify billing requirements
• Track deadlines and plan billing activities for timely and efficient task completion
• Apply knowledge of the U.S. healthcare system and OCHIN solutions to billing operations
• Provide revenue cycle and account management services to OBS member clients, primarily supporting Acute Care
• Manage self-pay accounts and customer inquiries or handle daily claims production, including printing, mailing, and preparing clean-claim documentation
• Provide billing and customer service support to OBS member clinics and their patients
• Travel nationally for on-site Go Live support based on business requirements
• Perform other duties as assigned

Requirements

• Rural hospital experience required for Acute Care hospital work
• Epic experience highly preferred
• Provider-based, inpatient, surgery, or emergency room billing experience highly preferred
• Critical Access Hospital Billing experience highly preferred
• Experience in billing and/or coding revenue cycle experience preferred
• Working knowledge of Medicare, Medicaid, MVA, Workers Comp, and private insurance billing and reimbursement processes preferred
• Knowledge of legal requirements preferred
• FQHC/RHC experience and knowledge preferred
• Medical Billing Certification from the American Academy of Professional Coders (AAPC) preferred
• Completion of a 50–60-minute competency assessment required before the team interview
• Ability to work independently and efficiently from a home office environment
• High-speed internet service
• Ability to work in a distraction-free workplace
• Reading, speaking, writing, and understanding English
• Ability to work on camera for all virtual meetings
• COVID-19 vaccination or approved medical/religious exemption required as a condition of employment

Core Competencies

Demonstrates expertise in medical billing and revenue cycle management, with a strong understanding of the U.S. healthcare system and payer guidelines. Proficient in handling claims processing, account management, and compliance with OCHIN systems.

Highest-signal resume keywords

• Rural Hospital Experience
• Epic Experience
• Medical Billing Certification
• Knowledge of Medicare and Medicaid Billing
• Critical Access Hospital Billing Experience

ATS Optimization Keywords

Hard Skills

• Claims Processing
• Revenue Cycle Management
• Billing Operations
• Documentation Compliance
• Claims Denial Resolution
• Customer Service Support
• Self-Pay Account Management
• Coding Revenue Cycle Experience
• Trend Identification
• Process Improvement

Soft Skills

• Effective Communication
• Independent Work
• Time Management
• Problem Solving
• Team Collaboration

Certifications & Qualifications

• Medical Billing Certification from AAPC

Industry Keywords

• Acute Care
• FQHC
• RHC
• Provider-Based Billing
• Inpatient Billing
• Surgery Billing
• Emergency Room Billing
• Medicare
• Medicaid
• Workers Comp

Tools & Technologies

• OCHIN Systems
• Epic Software