Remote Billing Specialist
About The Position
A Billing Specialist who excels in this role: Responsible for maintaining Revenue Cycle Services, and other departments with resolution of billing issues and/or denials requiring clinical expertise. Responsible for researching, working, and resolving claim denials and rejections in your assigned client. Assume ownership over your assigned clients for all aspects of the billing cycle, including Charges, Payments, and AR metrics and performance. Keep on task to meet all required deadlines and timeframes for customer and company needs. Assist in the development of processes and procedures for each assigned account. Monitors and analyzes current industry trends and issues for potential organizational impact. Communicate regularly with your assigned clients to alert them of trends identified and recommended resolutions. Collaborate with all departments to ensure billing accuracy and efficiency. Deliver timely required reports to the management team; initiates and communicates the resolution of issues, such as payer denial trends, collections accounts, inaccurate or incorrect charges. Ensure compliance with all relevant regulations, standards, and laws. Assist with any other projects as assigned by the Operations leadership.
Requirements
- High-School Graduate or Equivalent
- 1-2 Years Medical Accounts Receivable Experience
- ICD10 and CPT knowledge
- Excel, Word, Outlook, Medical Billing Software Systems
- Knowledge of full cycle revenue model
- Thorough knowledge of ICD and CPT application, correct practices, and tools utilized within the healthcare industry, as well as audits
- Ability to interpret documents, medical records, and other documentation related to medical claims
- Strong technical and computer skills (PM/EHR Software, Excel, Outlook, MS Office, Web)
- Ability to identify and resolve trends within your workflow
Nice To Haves
- Athena experience preferred
- Behavioral Health experience preferred
- EPIC experience preferred
Responsibilities
- Maintaining Revenue Cycle Services, and other departments with resolution of billing issues and/or denials requiring clinical expertise.
- Researching, working, and resolving claim denials and rejections in your assigned client.
- Assuming ownership over your assigned clients for all aspects of the billing cycle, including Charges, Payments, and AR metrics and performance.
- Keeping on task to meet all required deadlines and timeframes for customer and company needs.
- Assisting in the development of processes and procedures for each assigned account.
- Monitoring and analyzing current industry trends and issues for potential organizational impact.
- Communicating regularly with your assigned clients to alert them of trends identified and recommended resolutions.
- Collaborating with all departments to ensure billing accuracy and efficiency.
- Delivering timely required reports to the management team; initiating and communicating the resolution of issues, such as payer denial trends, collections accounts, inaccurate or incorrect charges.
- Ensuring compliance with all relevant regulations, standards, and laws.
- Assisting with any other projects as assigned by the Operations leadership.
Benefits
- Multiple levels of medical, dental and vision coverage
- Medical plans starting at just $10 per pay period
- Tailored benefit options for part-time and PRN employees
- Life, accident, critical illness, hospital indemnity insurance
- Short- and long-term disability
- Paid family leave
- Paid time off
- Higher education and certification tuition assistance
- Loan assistance
- 401(k) retirement package and company match
- Mental, physical, and financial wellness programs
- Free gym memberships
- Virtual care appointments
- Mental health services
- Discount programs
- Ongoing learning and career advancement opportunities
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
