Billing Specialist

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

📋 Description

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

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

• Follow up on pending claims and charges.

• Review and address payer denials, including appeals, coding adjustments, and medical necessity regulations.

• Analyze and rectify billing issues, ensuring accounts receivable does not exceed 10% over 60 days.

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

• Respond to billing inquiries from patients and internal personnel.

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

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

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

• Keep the supervisor updated on accounts receivable issues.

• Address requests from the billing company promptly.

• Investigate denials and submit corrected claims along with necessary medical documentation.

• Review and manage claims within the work dashboard hold buckets.

• Create, maintain, and update reports as instructed.

• Uphold confidentiality and adhere to HIPAA regulations.

• Engage in and complete mandatory training and in-services.

• Perform additional tasks as assigned.

⛳️ Requirements

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

• Must reside in one of the states where the company currently operates: MD, DE, VA, NJ, PA, FL, AL, GA, SC, or TX.

• Proficiency in Internet and Microsoft Office applications (MS Word, MS Excel, MS PowerPoint, MS Outlook).

• Exceptional written and verbal communication skills, including outstanding customer service.

• Capability 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.

• Capacity to follow both verbal and written instructions.

• Flexibility to work a varied schedule.

• Ability to respond with patience and empathy during stressful situations related to patient health and emergencies.

• Proficiency in multitasking and prioritizing tasks.

• Exceptional attention to detail.

• Strong organizational skills.

• Ability to solve problems and apply reasoning.

• Competence in meeting established quality standards.

• Professional demeanor and appearance.

• Familiarity with CPT and ICD-10 coding guidelines.

• Robust understanding of insurance principles and policies for third-party payers.

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

• Strong aspiration to deliver excellent customer service.

• Compliance with relevant organizational policies and regulations.

• High ethical and professional conduct standards.

• Commitment to continuous professional development.

• Reliable means of transportation.

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

• Preferred: Medical Billing Certification.

🏝️ Benefits

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

• Seven paid holidays: New Year’s Day, Memorial Day, Independence Day, Labor Day, Thanksgiving, Day After Thanksgiving, and Christmas Day.

• 401(k) plan with employer matching contributions.

• Medical, dental, and vision insurance options (for both single and family plans).

• Short-Term Disability coverage.

• Long-Term Disability coverage.

• Basic Life/Accidental Death & Dismemberment (AD&D) insurance.

• Employee Assistance Program.

• Voluntary Life insurance.

• Accident insurance.

• Critical Illness insurance.

• Hospital Indemnity insurance.

• Overtime eligibility in accordance with applicable laws (not guaranteed).