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Baylor Scott & White Health
Medical Billing Representative
Full Job Description

About Us

Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well.

Our Core Values are:

  • We serve faithfully by doing what's right with a joyful heart.
  • We never settle by constantly striving for better.
  • We are in it together by supporting one another and those we serve.
  • We make an impact by taking initiative and delivering exceptional experience.

Benefits

Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include:

  • Eligibility on day 1 for all benefits
  • Dollar-for-dollar 401(k) match, up to 5%
  • Debt-free tuition assistance, offering access to many no-cost and low-cost degrees, certificates and more
  • Immediate access to time off benefits

At Baylor Scott & White Health, your well-being is our top priority.

Note: Benefits may vary based on position type and/or level

Salary

The pay range for this position is $31,616(entry-level qualifications) - $47,624(highly experienced). The specific rate will depend upon the successful candidate's specific qualifications and prior experience.

Job Summary

The Billing Representative submits hospital or professional claims to Payers. This includes Medicare, Medicaid, Managed Medicare, Managed Medicaid, Managed Care, Commercial, Workers Compensation, and Champus/Tricare.

Essential Functions of the Role

  • Perform code and demographic audits on paper and electronic claims. Use the billing scrubber, payer edits, and custom edits for accuracy.
  • Communicate specific problems or concerns to Manager as appropriate.
  • Review electronic claims transmission reports. Resolve ECS rejections by correcting them in the system and resubmitting for payment.
  • Request or post charge corrections and appropriate credit and debit adjustments to patient accounts.
  • Correct patient demographic information when new/correct information is received.
  • Review claims for accuracy and completeness and obtain any missing information. Work rejected claims utilizing compliant and ethical billing practices.
  • Identify and bill secondary or tertiary insurances as needed.
  • Performs other duties as assigned or requested.

Belonging Statement

We believe that all people should feel welcomed, valued and supported, and that our workforce should be reflective of the communities we serve.

QUALIFICATIONS

  • EDUCATION - H.S. Diploma/GED Equivalent
  • EXPERIENCE - Less than 1 Year of Experience
PDN-9ed1e328-a8f9-4020-afb7-c354719db3bb
Job Information
Job Category:
Healthcare Services
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Medical Billing Representative
Baylor Scott & White Health
May 3, 2025
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