Billing Representative II
About The Position
The Billing Representative II manages third-party accounts receivable by analyzing denied and unanswered claims, contacting insurance carriers to reconcile or resolve issues, and processing insurance or patient refunds and adjustments. The role also evaluates and responds promptly to email requests related to accounts receivable issues. The representative is expected to maintain compliance and HIPAA standards and meet or exceed daily production and quality standards while managing work according to established metrics. The position is scheduled Monday through Friday, 8:00 AM to 4:30 PM Eastern, with the stated ability to work within Monday through Friday, 7:00 AM to 5:00 PM Eastern. Telecommuting requirements include maintaining a dedicated, private work area separate from other living areas. The position requires internet research, spreadsheet skills, and effective problem-solving, organization, interpersonal, independent-work, teamwork, and communication skills.
Requirements
- High school diploma or GED.
- Must be at least 18 years old.
- Ability to create and modify spreadsheets in Microsoft Excel.
- Ability to work Monday through Friday between 7:00 AM and 5:00 PM Eastern.
- Ability to maintain a dedicated work area separated from other living areas that provides information privacy.
- Ability to navigate the internet for research purposes.
- Problem-solving, organization, and interpersonal skills.
- Ability to work independently and as part of a team.
- Verbal and written communication skills.
Nice To Haves
- 1–2 years of medical billing experience.
- Familiarity with explanations of benefits and appeals.
Responsibilities
- Manage third-party accounts receivable by analyzing denied and unanswered claims.
- Make outbound calls to insurance carriers to reconcile or resolve issues.
- Maintain familiarity with explanations of benefits.
- Maintain compliance and HIPAA standards.
- Meet or exceed daily production standards by maintaining a work list according to metrics.
- Meet or exceed daily quality standards.
- Process insurance and patient refunds and adjustments.
- Evaluate and respond to email requests concerning accounts receivable issues in a timely manner.
- Perform other duties and functions as assigned.
Benefits
- Day 1 medical, supplemental health, dental, and vision coverage for full-time employees working 30 or more hours.
- Well-being programs.
- Annual no-cost Blueprint for Wellness health assessment program.
- healthyMINDS mental health program.
- Vacation and health/flex time.
- Six holidays plus one MyDay off.
- FinFit financial coaching and services.
- 401(k) pre-tax and/or Roth IRA with company match up to 5% after 12 months of service.
- Employee stock purchase plan.
- Life and disability insurance, with a buy-up option.
- Flexible Spending Accounts.
- Matching gifts program.
- Education assistance through MyQuest for Education.
- Career advancement opportunities.
- Potential eligibility for annual performance bonus compensation.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
