Sr Hospital Billing Specialist

Job Description

Job Description

Position Summary :

The Senior Hospital Billing Specialist is responsible for the accurate and timely preparation, submission, and follow-up of hospital claims to third-party payers. This role ensures compliance with all federal, state, and payer regulations and policies. The ideal candidate has extensive experience in hospital billing processes and a strong working knowledge of Cerner Soarian Financials (or Soarian Billing system).

Key Responsibilities :

Prepare, review, and submit hospital inpatient and outpatient claims using Soarian Financials and other billing systems.

Analyze claim rejections, denials, and underpayments; correct and resubmit as appropriate.

Research and resolve complex billing issues and discrepancies in collaboration with other revenue cycle departments.

Ensure compliance with payer-specific billing requirements, coding regulations, and hospital policies.

Monitor billing queues and aging reports to ensure timely claim submission and follow-up.

Assist with special projects, audits, and process improvements within the billing department.

Mentor and support junior billing staff, serving as a subject matter expert for Soarian workflows and billing procedures.

Communicate effectively with payers, patients, and internal departments to resolve outstanding balances and ensure accurate reimbursement.

Maintain strict confidentiality of patient and financial information in accordance with HIPAA guidelines.

Qualifications : Education :

High school diploma or GED required.

Associate degree or certification in Healthcare Administration, Accounting, or a related field preferred.

Experience :

Minimum 5 years of hospital billing experience , with at least 2 years using Cerner Soarian Financials (or related Cerner systems).

Strong understanding of hospital revenue cycle processes, including charge capture, coding, and reimbursement.

Experience with government and commercial payers, including Medicare, Medicaid, and managed care plans.

Skills :

Proficiency in Soarian Financials , Microsoft Excel, and billing / claims management systems.

Excellent analytical, problem-solving, and communication skills.

Strong attention to detail and ability to manage multiple priorities in a fast-paced environment.

Working knowledge of ICD-10, CPT, and HCPCS coding preferred.

For California Applicants :

We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO) , and the California Fair Chance Act (CFCA).

This position is subject to a background check based on its job duties, which may include patient care, working with vulnerable populations, access to financial and confidential information, driving, working with heavy machinery, or working in a warehouse or laboratory environment. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.

Company Description

Here at Medix, we are dedicated to providing workforce solutions to clients throughout multiple industries. We have been named among the Best and Brightest Companies to Work For in the Nation for two consecutive years. Medix has also been ranked as one of the fastest growing companies by Inc. Magazine.

Our commitment to our core purpose of positively impacting 20,000 lives affects not only the way we interact with our clients and talent, but also with our co-workers! The goal is lofty, but it is made attainable through the hard work and dedication of our teams and their willingness to lock arms together. Are you ready to lock arms with us?

Company Description

Here at Medix, we are dedicated to providing workforce solutions to clients throughout multiple industries. We have been named among the Best and Brightest Companies to Work For in the Nation for two consecutive years. Medix has also been ranked as one of the fastest growing companies by Inc. Magazine.\r\n\r\nOur commitment to our core purpose of positively impacting 20,000 lives affects not only the way we interact with our clients and talent, but also with our co-workers! The goal is lofty, but it is made attainable through the hard work and dedication of our teams and their willingness to lock arms together. Are you ready to lock arms with us?