Billing Specialist

This is a fully remote position, open to applicants in Alabama, +7 more states.

📋 Description

• Facilitate the complete and timely collection of revenue for designated groups.

• Accurately code and input patient and charge details into the billing system.

• Follow up on pending claims and charges.

• Evaluate and resolve payer denials, including appeals, coding adjustments, and medical necessity regulations.

• Analyze and address billing discrepancies while keeping accounts receivable at no more than 10% over 60 days.

• Process daily correspondence and claim statuses; manage denials, appeals, and re-bills.

• Respond to billing inquiries from patients and internal staff.

• Update patient records with changes to address and contact information.

• Review policy updates and notify the supervisor and charge entry specialist.

• Navigate proprietary insurance company websites to locate policies and research payments.

• Keep the supervisor apprised of accounts receivable issues.

• Address billing company requests promptly.

• Investigate denials and submit corrected claims and medical documentation.

• Review and manage claims in work-dashboard hold queues.

• Create, maintain, and update reports as instructed.

• Uphold confidentiality and comply with HIPAA regulations.

• Complete mandatory trainings and in-service sessions.

• Perform additional duties as assigned.

⛳️ Requirements

• High School Diploma or equivalent, with at least three (3) years of relevant experience; OR a comparable combination of education and/or experience.

• Must reside in one of the states where the company currently operates: Maryland, Delaware, Virginia, New Jersey, Pennsylvania, Florida, Alabama, Georgia, South Carolina, or Texas.

• Proficient in Internet and Microsoft Office applications, including MS Word, MS Excel, MS PowerPoint, and MS Outlook.

• Excellent written and verbal communication skills, with a strong emphasis on customer service.

• Capacity to establish and maintain effective working relationships with doctors, clinical staff, colleagues, and the public.

• Ability to work independently as well as collaboratively within a team.

• Capability to follow both verbal and written directives.

• Flexibility to work varied schedules.

• Ability to respond with empathy and understanding in stressful situations related to patient health and emergencies.

• Proficiency in multitasking and prioritization.

• Exceptional attention to detail.

• Strong organizational capabilities.

• Problem-solving and analytical skills.

• Ability to adhere to predefined quality benchmarks.

• Professional demeanor and appearance.

• Familiarity with CPT and ICD-10 coding standards.

• Solid understanding of insurance practices and third-party payer protocols.

• Knowledge of the healthcare sector and medical specialties, along with medical terminology.

• Strong commitment to delivering outstanding customer service.

• Adherence to relevant organizational policies and regulations.

• High ethical and professional standards of conduct.

• Desire for continuous professional development.

• Reliable means of transportation.

• Preferred: Two (2) years of experience with an Electronic Medical Record (EMR) system.

• Preferred: Medical Billing Certification.

🏝️ Benefits

• PTO: Up to 96 hours in the first year (pro-rated based on start date).

• 7 holidays: New Year's Day, Memorial Day, Independence Day, Labor Day, Thanksgiving, Day After Thanksgiving, Christmas Day.

• 401(k) plan with employer matching.

• Medical, dental, and vision coverage for individuals and families.

• Short-Term Disability.

• Long-Term Disability.

• Basic Life/AD&D insurance.

• Employee Assistance Program.

• Voluntary Life insurance.

• Accident coverage.

• Critical Illness coverage.

• Hospital Indemnity.

• Eligibility for overtime pay in accordance with applicable laws.

• Flexible work schedule.

• Opportunity for remote work.