RCM Billing Specialist

Unio specialty care•Torrance, CA
•$23 - $25•Remote

About The Position

The RCM Billing Specialist assists with charge entry, coding, and eligibility, supporting patient care through accurate, efficient billing and compliance with applicable regulations. The role requires communication with staff, payors, and patients to meet the billing needs of all departments. This is a remote position. The worker must be located in one of Unio Health Partners’ authorized states: AR, AZ, CA, CO, CT, FL, ID, IA, IL, MI, NV, NM, OH, OR, SC, TN, TX, VA, WA, or WI.

Requirements

  • High school diploma or GED certificate.
  • At least 2 years of medical billing and collections experience in a healthcare setting.
  • Radiation Oncology, GI, or Urology billing experience.
  • Knowledge of billing practices, charge entry, and clinic operating policies and procedures.
  • Knowledge of CPT and ICD-9/ICD-10 codes.
  • Knowledge of state and federal laws applicable to the position’s duties.
  • Microsoft Office skills, including Word, Excel, PowerPoint, and Outlook.

Nice To Haves

  • Medical Billing Training Certificate.
  • CPC Coder Certification through AAPC.

Responsibilities

  • Manage and monitor billing processes, ensure accurate claim submission, and facilitate reimbursement for healthcare services.
  • Prepare and submit billing data and medical claims to insurance companies accurately and in compliance with regulations.
  • Investigate and clear edits and claim rejections to support a maximum clean claim rate.
  • Maintain required billing records, reports, files, and faxes.
  • Review outstanding charges and take appropriate action.
  • Receive and review charge documents for accuracy and enter charges into the practice management system.
  • Assign appropriate diagnostic codes to patient charts and reports, prioritizing coding to maximize reimbursement.
  • Extract information from medical records, operative notes, hospital admissions, consults, progress notes, and discharges.
  • Track clinic, ASC, and hospital billing, including specialty services; compile information and complete daily reconciliation of visits and charges.
  • Support timely and accurate payments to healthcare providers and the overall efficiency of the revenue cycle.

Benefits

  • Competitive salary and health benefits, including medical, dental, and vision.
  • Generous time off that starts accruing on the first day, with no waiting period.
  • Paid holidays.
  • 401(k).
  • Company discounts.
  • Collaborative work environment with opportunities for employees to have input into how the office is run.
  • Employee recognition.
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