Inpatient Medical Billing Specialist

Position Overview:

We are partnering with a leading health system to hire an experienced Inpatient Medical Biller to join their Central Business Office team. This role is responsible for the accurate and timely billing of inpatient hospital claims to government and commercial payers. The ideal candidate is highly detail-oriented and experienced in hospital billing workflows, electronic claim submission, and payer-specific requirements.

Details:

• Schedule: Monday–Friday, standard business hours (flex between 9:00 AM – 3:00 PM); potential for future hybrid flexibility

Key Responsibilities:

• Prepare, review, and submit accurate inpatient hospital claims for Medicare, Medicaid, managed care, and commercial insurance payers
• Submit claims electronically through a clearinghouse and monitor claim acceptance, edits, and rejections
• Review patient accounts and billing documentation to ensure completeness, accuracy, and compliance prior to submission
• Verify required documentation to support timely reimbursement
• Research and resolve claim edits and rejections to ensure clean claim submission
• Process corrected claims and rebills as needed
• Monitor electronic claim status to confirm payer receipt and acceptance
• Apply appropriate medical billing codes and payer-specific guidelines
• Bill claims for both in-state and out-of-state payers, including Medicaid plans
• Maintain accurate documentation within billing systems and patient accounts
• Collaborate with internal departments and facility staff to obtain necessary supporting documentation
• Identify billing trends or process gaps impacting reimbursement and recommend improvements
• Ensure compliance with all federal, state, and payer regulations
• Support additional revenue cycle functions as assigned

Required Qualifications:

• High School Diploma or equivalent
• Minimum of 2 years of inpatient hospital billing experience
• Experience billing Medicare, Medicaid (including Texas Medicaid), managed care, commercial insurance, and out-of-state payers
• Strong understanding of inpatient billing workflows and payer requirements

Preferred Qualifications

• Experience with Meditech EMR
• Familiarity with clearinghouses such as ABILITY/Inovalon

What We’re Looking For:

• Strong attention to detail and accuracy
• Ability to manage multiple accounts and deadlines
• Problem-solving skills to resolve billing discrepancies and claim issues
• Knowledge of payer-specific billing guidelines and compliance standards
• Effective communication and collaboration skills