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Hospital Billing Specialist I
Baptist HealthHospital Billing Specialist processing claims for commercial, third-party, and government payers. Supporting Baptist Health, a Northeast Florida not-for-profit healthcare system, through compliant hospital billing operations.
Posted 8/12/2026full-timeJacksonville • Alabama, Florida, Idaho, Kentucky, Louisiana, Mississippi, North Carolina, Ohio, Oklahoma, Oregon, South Carolina, South Dakota, Tennessee, Texas, Virginia, West Virginia, Wyoming • 🇺🇸 United StatesMid-LevelSeniorWebsite
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in Revenue Cycle Operations, Third Party Billing, and Accounts Receivable, with a strong understanding of CPT, ICD-10, NCCI, and MUE edits. Capable of effectively communicating across departments to resolve claim issues and ensure compliance with insurance and regulatory requirements.
Highest-signal resume keywords
Revenue Cycle OperationsThird Party BillingAccounts ReceivableCPT KnowledgeICD-10 Knowledge
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
CPT CodesICD-10 CodesNCCI EditsMUE EditsClaim ProcessingCharge VerificationClaim ResolutionRegulatory ComplianceBilling AccuracyPayment Methodologies
Soft Skills
CommunicationProblem-SolvingCollaboration
Industry Keywords
Revenue CycleHealthcare BillingPayer EditsVertical AreasRemote Work
About the role
Key responsibilities & impact- Verify the accuracy and completeness of all charges on claims
- Ensure appropriate charges are present and capture missing or incorrect information
- Communicate with various departments to resolve outstanding claim issues before billing
- Research and resolve electronic claim delays, including unreleased and rejected claims
- Process charges in accordance with insurance and regulatory requirements
- Develop competency across assigned HB and PB vertical areas
- Apply knowledge of CPT, ICD-10, NCCI, MUE, and payer edits
Requirements
What you’ll need- High School Diploma (Required)
- Less than 1 year Revenue Cycle Operations experience (Required)
- Less than 1 year Third Party Billing and Payment Methodologies experience (Required)
- Less than 1 year Accounts Receivable experience (Required)
- Less than 1 year knowledge base in ICD-10 and CPT4/HCPCS (Required)
- Experience in either HB or PB while working toward competency in all assigned vertical areas
- Up-to-date knowledge of CPT codes, ICD-10 codes, NCCI edits, MUE edits, and payer edits
- Must work in one of the remote-approved states: Alabama, Florida, Georgia, Idaho, Indiana, Kentucky, Louisiana, Mississippi, North Carolina, Ohio, Oklahoma, Oregon, South Carolina, South Dakota, Tennessee, Texas, Virginia, West Virginia, or Wyoming
Benefits
Comp & perks- Flexible scheduling
- Remote opportunity
- Full-time employment