Senior Physician Billing Specialist
About The Position
Ensemble is a provider of technology-enabled revenue cycle management solutions for health systems, hospitals, and affiliated physician groups. The Senior Billing Specialist works daily failed bills and claims across systems, including late charges, rebills, and other billing reports. The role reviews and updates failed claims, resolves electronic submission issues, monitors errors and recommends system fixes, processes hardcopy claims, gathers supporting documentation, and contacts patients, insurers, and third parties for billing information. It also includes creating training materials, training and educating staff, and covering absentee staffing desks. This is a remote position, but the employee must be willing and able to travel to and work onsite at client, temporary, or corporate office locations when business needs require. Compensation is $18.65–$20.50 per hour, based on experience.
Requirements
- Desired work experience of 1 to 3 years.
- High school diploma, GED, or equivalent experience.
- Must be CPB certified.
- Must have billing experience with multiple payers or be a subject matter expert on one payer.
- Must demonstrate basic computer knowledge and proficiency in Microsoft Excel.
- Must pass a typing test at 35 words per minute, error adjusted.
- Must be able to provide a mock training session for the interviewer(s).
- Must be inquisitive and open to innovation, including AI, to explore better processes and improve patient and client experiences.
- Must be willing and able to travel to and work onsite at client, temporary, or corporate office locations as business needs require.
- Must reside and be authorized to work within the United States.
Nice To Haves
- Two years of an accredited degree or equivalent experience.
- For internal candidates, 100% productivity and 95% quality assurance for the prior three-month period.
Responsibilities
- Review and update failed bills and claims in the host system and billing vendor.
- Work daily electronic submissions or 277s and resolve claim issues.
- Monitor daily claim errors and resolutions, and provide recommendations for future system fixes.
- Work daily late charges and rebills.
- Bill hardcopy claims and attach any documentation needed for payment.
- Pull EOBs and medical records as needed, attach them to claims, and mail them.
- Contact patients, insurance companies, and third parties to obtain insurance information or additional billing data.
- Create training documents and tests, and train and educate staff while providing testing.
- Work absentee staffing desks.
Benefits
- Bonus incentives
- Paid certifications
- Tuition reimbursement
- Comprehensive benefits, including healthcare, time off, retirement, and well-being programs
- Professional development
- Quarterly and annual incentive programs
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What This Job Offers
Job Type
Full-time
Career Level
Senior
Education Level
High school or GED
