Billing and Collection Specialist-Remote

RestorixHealth ®•Metairie, LA

1d•$65,000 - $70,000•Remote

About The Position

The Billing and Collection Specialist confirms that claims for professional services have been submitted, manages denials, and verifies payment accuracy. The role follows up on unpaid insurance claims and outstanding balances, assists with appeals, rebilling, inquiries, insurance verification, and payer coverage matters, and researches information needed to respond to denials. It records claim follow-up actions, ensures payments are applied to patient accounts, maintains files and reports, and provides regular updates on outstanding issues and account status. The Specialist works with providers and internal teams, supports monthly reporting and Practice Manager coverage when needed, maintains confidentiality, and helps ensure professional services revenue is billed and collected promptly. The position also upholds company values, policies, and procedures and may perform other assigned Professional Services duties. This position requires a high school diploma or GED and at least two years of relevant experience in medical billing, coding, collections, claims filing, or auditing in an outpatient medical facility, medical practice, office, or agency. Candidates must have working knowledge of ICD-10 and CPT/HCPCS coding, intermediate Microsoft Word, Excel, and Outlook skills, experience with an EMR system, and a valid driver's license throughout their employment. Strong communication, organization, attention to detail, and follow-up skills are required. The role includes periods of sitting and standing, repetitive hand and foot motion, and use of vision, hearing, summarizing, and other physical, sensory, and cognitive functions while focusing amid frequent interruptions. The employer is an Equal Opportunity Employer.

Requirements

High school diploma or GED equivalent.
At least two years of experience as a medical biller, coder, collections specialist, or in healthcare claims filing or auditing in an outpatient facility, medical practice, office, or agency.
General understanding and working knowledge of ICD-10 and CPT/HCPCS coding.
Intermediate skills in Microsoft Word, Excel, and Outlook.
Experience working with an electronic medical records (EMR) system.
Valid driver's license for the entire time the position is held.
Excellent interpersonal, verbal, and written communication skills.
Strong organizational skills and attention to detail.
Strong follow-up skills.
Demonstrates knowledge of Equal Employment Opportunity policy, respect and sensitivity for cultural differences, and support for diversity and a harassment-free environment.
Treats people with respect, keeps commitments, inspires trust, works with integrity and principles, and upholds organizational values.

Responsibilities

Confirm submission of claims for professional services, manage denials, and verify payment accuracy.
Follow up on unpaid claims and outstanding balances owed by insurance payers.
Initiate or assist with appeals, rebilling, and inquiries until resolved.
Assist with insurance verification and payer coverage as needed.
Research and obtain information needed to respond to payer denials.
Record claim follow-up actions in the designated collections tracker.
Ensure professional services payments are reported and applied to patient accounts.
Communicate with providers and internal teams, including the RestorixHealth Coding team, Coding Manager, Prior-Auth, Practice Manager, and VP, as needed.
Maintain appropriate files and reports.
Provide regular updates on outstanding issues to the Practice Manager and/or VP Revenue Cycle.
Maintain confidentiality of patient, hospital, nursing home, and provider information.
Uphold company values, policies, and procedures.
Work to ensure all possible Professional Services Division revenue is billed and collected promptly.
Report and advise on needed write-offs promptly.
Collaborate with the Practice Manager on account updates for monthly reporting.
Provide backup support to the Practice Manager to cover PTO or other time off as needed.
Perform other assigned Professional Services duties as needed.