Billing & Revenue Cycle Specialist

This is a fully remote position, open to applicants in Philippines.

📋 Description

• Oversee internal billing and collection operations for the practice

• Manage the complete billing lifecycle, which includes claim creation, submission, investigation, corrections, adjustments, payment posting, and accounts receivable procedures

• Examine claims for precision and identify billing discrepancies prior to submission

• Investigate and resolve claim rejections, denials, and underpayments; resubmit corrected claims and appeals as necessary

• Review accounts receivable aging reports to guarantee timely reimbursement

• Act as a liaison between the practice and external billing vendors

• Handle patient balances and collection efforts

• Reach out to patients regarding outstanding balances and set up payment arrangements

• Process patient payments while ensuring accurate account balances

• Reconcile payment discrepancies and investigate billing issues

• Maintain precise financial documentation and patient account records

• Serve as the primary contact for the billing phone line

• Address patient inquiries about deductibles, copayments, coinsurance, eligibility, benefits, financial responsibilities, account balances, payment plans, statements, and charges

• Provide billing statements, itemized receipts, and payment histories

• Clearly, professionally, and compassionately explain billing information

• Resolve patient billing issues and escalate complex cases as needed

• Monitor and report revenue cycle metrics, including days in accounts receivable, AR aging, clean claim rate, claim creation and submission lag, payment posting timeliness, and patient collection performance

• Ensure compliance with HIPAA, payer guidelines, and relevant federal and state regulations

• Confirm that billing documentation meets medical necessity and payer requirements

• Collaborate with administrative staff and practice leadership to address billing concerns and enhance processes

⛳️ Requirements

• A minimum of 2 to 3 years of experience in medical billing and revenue cycle management

• Proficient in eClinicalWorks (eCW)

• Thorough understanding of the entire medical billing lifecycle, encompassing claims management, payment posting, denials, collections, and accounts receivable

• Experience with commercial insurance plans and Medicare Part B

• Strong knowledge of CPT coding and ICD-10 coding

• Excellent customer service and communication abilities, with the skill to discuss financial matters in a professional and compassionate manner

• Strong analytical, organizational, and problem-solving competencies

• Capable of working independently, managing multiple priorities, and maintaining a high level of accuracy

• Experience in behavioral health or mental health billing

• Full-time position

• 100% remote work environment

🏝️ Benefits

• Competitive salary

• Flexible work hours

• Opportunity for professional development

• Comprehensive health benefits

• Supportive work culture