Billing Specialist

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

📋 Description

• Facilitate the thorough and prompt collection of revenue for designated groups.

• Execute precise coding and input of patient and charge details into the billing system.

• Follow up on pending claims and/or charges.

• Assess and resolve payer denials, which includes appeals, coding adjustments, medical necessity guidelines, and related tasks.

• Evaluate and address billing concerns, maintaining accounts receivable to no more than 10% over 60 days.

• Handle daily correspondence and claim status; manage denials, appeals, and re-billing processes.

• Respond to billing inquiries from patients and internal personnel.

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

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

• Navigate the proprietary websites of assigned insurance companies to locate policies and investigate payments.

• Keep the supervisor informed about accounts receivable issues.

• Address billing company inquiries promptly.

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

• Review and manage claims in the work dashboard hold buckets for resolution.

• Generate, maintain, and revise reports as instructed.

• Uphold confidentiality and adhere to HIPAA regulations.

• Engage in and complete mandatory training and in-service sessions.

• Execute additional responsibilities as assigned.

⛳️ Requirements

• High School Diploma or equivalent with a minimum of three (3) years of relevant experience; OR a suitable combination of education and/or experience.

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

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

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

• Capacity to cultivate and sustain effective working relationships with physicians, clinical staff, colleagues, and the public.

• Capability to work independently and collaboratively within a team.

• Ability to follow both verbal and written directives.

• Flexibility to work a varied schedule.

• Aptitude to respond with patience and empathy in stressful situations related to patient health and emergencies.

• Skill in multitasking and prioritizing tasks.

• Extreme attention to detail.

• Strong organizational capabilities.

• Problem-solving and analytical skills.

• Ability to adhere to predefined quality standards.

• Professional demeanor and appearance.

• Working knowledge of CPT and ICD-10 coding standards.

• Solid understanding of insurance and third-party payer regulations.

• Familiarity with the healthcare sector, medical specialties, and medical terminology.

• Strong commitment to providing excellent customer service.

• Adherence to relevant organizational policies and regulations.

• High ethical standards and professionalism.

• Desire for continuous professional development.

• Preferred: Two (2) years of experience with Electronic Medical Records (EMR).

• Preferred: Medical Billing Certification.

• Reliable transportation required.

🏝️ Benefits

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

• 7 paid 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 available for individuals and families.

• Short-Term Disability coverage.

• Long-Term Disability coverage.

• Basic Life/AD&D insurance.

• Employee Assistance Program.

• Voluntary Life insurance options.

• Accident insurance.

• Critical Illness insurance.

• Hospital Indemnity coverage.

• Eligibility for overtime pay in accordance with applicable laws.

• Reliable transportation; work assignments may be at any of the Company’s locations.