Billing Associate

Alteva RCM•Boca Raton, FL

2d•$50,000 - $65,000

About The Position

The Billing Associate is responsible for timely and accurate front-end billing execution for assigned accounts, including claim intake and scrubbing, coordination with coding teams, and billing charge entry and release. The role focuses on accuracy, timeliness, and adherence to established processes, serving as the first line of defense to ensure claims are complete and accurate and support claim processing, payer response, and reimbursement outcomes. The position includes setting up new accounts and maintaining billing operations for assigned accounts. The Billing Associate ensures that claims and documentation are ready for coding, coordinates coding and charge release, configures billing rules and workflows, and supports smooth account transitions. For ongoing accounts, the Associate maintains account details and billing rules, monitors process trends, responds to billing-related communications, supports other teams, oversees higher-level and corrected claims, and works aged claims toward resolution. The role also involves resolving standard billing questions, communicating with clients about missing information and basic processing issues, and escalating unresolved or systemic issues with clear documentation. Performance is measured against timely filing, billing timeliness, accuracy, service-level adherence, and prompt resolution of billing delays and workflow barriers.

Requirements

High school diploma or equivalent required.
0–2 years of experience in physician collections, accounts receivable follow-up, and denial management.
Proficiency in Microsoft Office applications, including Excel, Word, and Outlook.
Ability to multitask, prioritize workload, and meet deadlines in a fast-paced environment.
Strong communication and interpersonal skills.
Exceptional attention to detail and organizational skills.
Ability to work independently while contributing to a team-oriented environment.
Demonstrated problem-solving skills and a proactive, solution-driven approach.

Nice To Haves

Associate's or bachelor's degree preferred.
Experience with reporting and data analysis tools preferred.

Responsibilities

Conduct claim intake for assigned new accounts.
Ensure claims are complete and required documentation is validated before requesting coding.
Route claims to coding teams and ensure coding is completed in a timely manner.
Release charges after coding and validation steps are complete.
Conduct billing setup for newly onboarded accounts, including billing rule configuration and workflow alignment.
Introduce support teams to accounts during transition to live maintenance.
Maintain accurate billing rules and account details in internal systems.
Ensure claim intake, demographics, coding, and charge release processes run smoothly for assigned accounts.
Monitor account trends relating to claim intake, demographics, coding, and charge release.
Adhere to defined workflows, timelines, and quality standards.
Own external and internal chats and emails related to billing clients and respond to billing-related items.
Serve as the main point of contact for the follow-up team and other departments on billing-related issues and inquiries.
Supervise billing for higher-level claims and corrected claims.
Review claims more than 75 days from date of service daily and drive them toward resolution and claim release.
Resolve standard internal billing questions from support teams and flag issues requiring further review to the Billing Support Team Manager.
Escalate unresolved, systemic, or recurring issues to management and support resolution with clear documentation and supporting details.
Communicate with clients regarding missing information and basic processing issues.
Work toward the stated performance measures, including timely filing, billing claims within 30 days of client upload, proper capture of GAP cases, 98% billing-output accuracy, prompt resolution of delays and holds, timely external escalations, and SLA adherence.