• Medical Insurance Billing Representative

    Job ID
    Employment Type
    Hours Per Week
    Onsite Work Schedule Details
    M-F 8AM-5PM
    100 Kimel Forest Drive
  • Overview

    The Medical Insurance Billing Representative submits medical claims to the appropriate government or commercial healthcare insurance company for payment, reconciles insurance payments and denials, and follows up with insurance companies as needed.


    • Review and prepare claims for manual and/or electronic billing submission.
    • Identify billing errors for correction and resubmit claims to insurance carriers.
    • Follow up on payment errors, low reimbursement and denials.
    • Review insurance EOB’s and initiate appeals as necessary.
    • Print and mail UB04s or HCFA 1500s as necessary for account resolution.
    • Remain up to date with all commercial and managed care pricing models, rules and regulations.
    • Remain up to date with all Medicare and Medicaid rules and regulations.
    • Supports nThrive’s Compliance Program by adhering to policies and procedures pertaining to HIPAA, FDCPA, FCRA, and other laws applicable to nThrive’s business practices. This includes: becoming familiar with nThrive’s Code of Ethics, attending training as required, notifying management or nThrive’s Helpline when there is a compliance concern or incident, HIPAA-compliant handling of patient information, and demonstrable awareness of confidentiality obligations.


    • High school diploma or GED.
    • 2+ years of experience in healthcare insurance billing, working directly with government or commercial insurance payers.
    • 2+ years of experience with claims management billing software.
    • Demonstrated experience ensuring accurate billing by reviewing UB04 and 1500 forms for accuracy and resolving all edits required.
    • Proficient with Excel, Word and Microsoft Outlook.
    • Demonstrated ability to navigate Internet Explorer and Microsoft Office.
    • Demonstrated success working both individually and in a team environment.

    Preferred Skills

    • Experience with Epic, Meditech, Cerner, Invision, Paragon, Soarian or STAR.

    About nThrive

    Be Inspired. Ignite Change. Transform Health Care. 

    From Patient-to-PaymentSM, nThrive provides all the technology, advisory expertise, services, analytics and education programs health care organizations need to thrive in the communities they serve. Our colleagues share a united passion to help health care organizations strengthen their financial position, which translates to accessible, quality care for all. This passion fuels our drive to innovate and participate in community outreach through the nThrive CARES program. Our colleagues are encouraged to think differently and empowered to make a lasting impact that ensures our health care providers, and our world, are healthy and productive.


    Sorry the Share function is not working properly at this moment. Please refresh the page and try again later.
    Share on your newsfeed

    Connect With Us!

    Not ready to apply? Connect with us for general consideration.