Billing Specialist

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

📋 Description

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

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

• Follow up on pending claims and charges.

• Examine and address payer denials, including appeals, coding amendments, and medical necessity criteria.

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

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

• Respond to billing inquiries from patients and internal personnel.

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

• Review changes in policy and notify the supervisor and charge entry specialist.

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

• Keep the supervisor informed about accounts receivable issues.

• Address billing company requests promptly.

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

• Review and oversee claims in work-dashboard hold buckets for resolution.

• Develop, maintain, and revise reports as required.

• Uphold confidentiality and adhere to HIPAA regulations.

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

• Execute 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 operates: MD, DE, VA, NJ, PA, FL, AL, GA, SC, or TX.

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

• Outstanding written and verbal communication skills, including exceptional customer service abilities.

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

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

• Competence in following verbal and written instructions.

• Flexibility to work a varied schedule.

• Patience and empathy during high-stress situations related to patient health and emergencies.

• Capacity to multitask and prioritize effectively.

• Exceptional attention to detail.

• Strong organizational skills.

• Proficient problem-solving and reasoning skills.

• Ability to meet established quality standards.

• Professional demeanor and appearance.

• Knowledge of CPT and ICD-10 coding standards.

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

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

• Strong motivation to deliver outstanding 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).

• Preferred: Medical Billing Certification.

🏝️ Benefits

• Up to 96 hours of PTO 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 insurance available for both individual and family coverage.

• Short-Term Disability coverage.

• Long-Term Disability coverage.

• Basic Life/AD&D insurance.

• Employee Assistance Program.

• Optional Life insurance.

• Accident insurance.

• Critical Illness insurance.

• Hospital Indemnity insurance.

• Eligibility for overtime pay in compliance with applicable laws.