Medical Billing & Collection Specialist- Part-Time - A/R Experience Required

Advocate Health and Hospitals Corporation • Huntersville, NC

2d • Remote

About The Position

This part-time Medical Billing & Collection Specialist role focuses on reviewing medical records, assigning correct codes, and managing the entire billing process. The specialist will ensure accuracy in primary, secondary, and rebilling claims, staying current with government payer regulations (Medicare, Medicaid, VA). Responsibilities include monitoring claim transmissions, collaborating with vendors, collecting outstanding patient balances, posting payments, adjudicating EOBs/RAs, and effectively handling claim denials and appeals. Active involvement in Key Performance Indicators (KPIs) related to the financial performance of the Surgery Center is also expected.

Requirements

• High school diploma required.
• 2-5 years' experience in a medical environment required.
• Strong medical terminology knowledge, preferably in the surgical realm.
• Thorough working knowledge of CPT and ICD-10 codes.
• Ability to process outgoing claims, write billing edits, transmit transaction files, and process payments.
• Strong typing skills.
• Significant computer experience, including email, copier, and Microsoft Office.
• EMR experience required (can be from a physician practice, including clerical and clinical functions).
• Knowledge of billing rules and regulations for various governmental programs.
• Pertinent knowledge related to commercial claim submission.
• Firm grasp of all HIPAA guidelines.

Nice To Haves

• An Associate degree, suitable Trade School or Coding Certification preferred.
• Knowledge of ASC billing preferred.

Responsibilities

• Review medical records for documentation accuracy and assign the correct CPT and ICD-10 codes to the claim.
• Perform and oversee all billing processes, including primary/secondary and rebilling, with necessary claim edits on internal and external software systems.
• Check clearinghouse transmission daily to ensure successful transmission to the intermediary.
• Work closely with vendors when problems or trends impede workflow.
• Handle follow-up on billed patient accounts to collect owed balances.
• Post payments via cash, credit cards, EFT, and third-party vendors.
• Review and adjudicate EOBs/RAs to determine correct payer payment.
• Deal with denials efficiently and effectively, handling appeals as needed.
• Remain actively involved in KPIs associated with the financial performance of the Surgery Center.

Benefits

• Paid Time Off programs
• Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
• Flexible Spending Accounts for eligible health care and dependent care expenses
• Family benefits such as adoption assistance and paid parental leave
• Defined contribution retirement plans with employer match and other financial wellness programs
• Educational Assistance Program

What This Job Offers

• Job Type: Part-time
• Career Level: Mid Level
• Education Level: High school or GED