Specialist, Facility Billing

MPOWERHealth•Conshohocken, PA
•Hybrid

About The Position

MPOWERHealth is hiring a Specialist, Facility Billing to support its reimbursement operations. The role invoices facility clients for medical services provided by the company’s teams and follows up with clients, insurance payers, and patients until accounts are resolved. The position also supports accurate billing, timely reimbursement, and the sustainability of the company’s services. It is hybrid and full-time.

Requirements

  • At least 2 years of medical accounts receivable, invoicing, or insurance follow-up experience.
  • High school diploma or GED.
  • Advanced Excel skills and strong math ability.
  • Working knowledge of CPT, ICD-10, EOBs, and common denial reasons.
  • Strong attention to detail.
  • Ability to organize and manage high volumes of correspondence while meeting daily invoicing goals.
  • Clear, professional written and verbal communication with internal and external stakeholders at all levels.
  • Customer-service mindset, positive attitude, and openness to feedback.

Nice To Haves

  • CRCR, CPB, or CPC certification.
  • Experience with surgical, specialty, or out-of-network claims.
  • Familiarity with the No Surprises Act IDR process.
  • Experience with athenahealth, eClinicalWorks, AdvancedMD, Waystar, or a similar system.

Responsibilities

  • Create and submit invoices to facility clients based on contract terms and case details.
  • Enter charges and data accurately into the billing system.
  • Follow up by phone and email on purchase orders, payments, and delinquent accounts.
  • Work unpaid and denied insurance claims, including corrections, resubmissions, and appeals.
  • Post payments and adjustments, and complete monthly accounts receivable reconciliation.
  • Build relationships with new facility contacts and establish their accounts receivable processes.
  • Answer client and patient billing questions professionally and with care.
  • Identify payment and denial trends to help address problems at their source.
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