City/State: Saint Louis, Missouri Categories: Financial Services Shift: Days Job Status: Full-Time Req ID: 85824 Pay Range: $15.00 – $23.88 / hour (Salary or hourly rate is based on job qualifications and relevant work experience) **Additional Information About the Role** BJC HealthCare is seeking a Billing Representative II! In this role you will work claim edits that come electronically from the clearing house doing pre-accounts recievable work. **Overview** **BJC HealthCare** is one of the largest nonprofit health care organizations in the United States, delivering services to residents primarily in the greater St. Louis, southern Illinois and southeast Missouri regions. With net revenues of $6.3 billion and more than 30,000 employees, BJC serves patients and their families in urban, suburban and rural communities through its 14 hospitals and multiple community health locations. Services include inpatient and outpatient care, primary care, community health and wellness, workplace health, home health, community mental health, rehabilitation, long-term care and hospice. BJC is the largest provider of charity care, unreimbursed care and community benefits in the state of Missouri. BJC and its hospitals and health service organizations provide $785.9 million annually in community benefit. That includes $410.6 million in charity care and other financial assistance to patients to ensure medical care regardless of their ability to pay. In addition, BJC provides additional community benefits through commitments to research, emergency preparedness, regional health care safety net services, health literacy, community outreach and community health programs and regional economic development. BJC’s patients have access to the latest advances in medical science and technology through a formal affiliation between Barnes-Jewish Hospital and St. Louis Children’s Hospital with the renowned Washington University School of Medicine, which consistently ranks among the top medical schools in the country. **Preferred Qualifications** **Role Purpose** The Billing Representative II is responsible for handling a high volume of complex and/or escalated claims transactions across all service lines at BJC. This includes, but is not limited to, the electronic submission of claims, paper claims, and the resolution of rejected claims. This position is also responsible for training and mentoring junior level staff. **Responsibilities** + Ensures daily submission of accurate and complete claims to payors in an efficient and timely manner; provides expertise in resolving complex claims. + Submits electronic and paper claims on a daily basis; resolves more complex erroneous and/or failed claims. + Reviews the accuracy of claims and their payor edits prior to being sent to insurance carriers. + Performs audits on universal billing forms and electronic edits based on payor regulatory guidelines. + Identifies systemic trends in payor edits and makes necessary recommendations for resolution. **Minimum Requirements** **Education** + High School Diploma or GED **Experience** + <2 years **Preferred Requirements** **Experience** + 2-5 years **Supervisor Experience** + No Experience **Benefits and Legal Statement** **BJC Total Rewards** At BJC we’re committed to providing you and your family with benefits and resources to help you manage your physical, emotional, social and financial well-being. + Comprehensive medical, dental, vison, life insurance, and legal services available first day of the month after hire date + Disability insurance* paid for by BJC + Pension Plan*/403(b) Plan funded by BJC + 401(k) plan with BJC match + Tuition Assistance available on first day + BJC Institute for Learning and Development + Health Care and Dependent Care Flexible Spending Accounts + Paid Time Off benefit combines vacation, sick days, holidays and personal time + Adoption assistance **To learn more, go to www.bjctotalrewards.com/Benefits (https://www.bjctotalrewards.org/Benefits)** *Not all benefits apply to all jobs The above information on this description has been designed to indicate the general nature and level of work performed by employees in this position. It is not designed to contain or be interpreted as an exhaustive list of all responsibilities, duties and qualifications required of employees assigned to this job. Equal Opportunity Employer