Billing Specialist

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

📋 Description

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

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

• Follow up on pending claims and/or charges.

• Review and address payer denials, which includes appeals, coding corrections, medical necessity criteria, and other related tasks.

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

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

• Respond to billing inquiries from patients and internal personnel.

• Update patient records with changes in address and contact information as necessary.

• Review updates to policies and communicate with the supervisor and charge entry specialist.

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

• Keep the supervisor informed about accounts receivable issues.

• Address requests from the billing company promptly.

• Investigate denials and submit accurate claims along with medical documentation.

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

• Generate, maintain, and update reports as instructed.

• Uphold confidentiality and adhere to HIPAA regulations.

• Participate in and complete all required training sessions and in-services.

• Carry out other responsibilities as assigned.

⛳️ Requirements

• High School Diploma or equivalent, coupled with a minimum of three (3) years of relevant experience; alternatively, an equivalent 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, including outstanding customer service capabilities.

• Ability to develop and maintain effective working relationships with physicians, clinical staff, colleagues, and the public.

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

• Ability to follow both verbal and written instructions accurately.

• Flexibility to work a varied schedule.

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

• Proficient in multi-tasking and prioritizing effectively.

• High attention to detail.

• Strong organizational skills.

• Problem-solving and analytical abilities.

• Capability to meet established quality standards.

• Professional demeanor and appearance.

• Solid understanding of CPT and ICD-10 coding regulations.

• Good foundation of insurance knowledge and guidelines for third-party payers.

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

• Strong commitment to delivering excellent customer service.

• Adherence to applicable organizational policies and regulations.

• High ethical and professional standards of conduct.

• Desire for continuous professional development.

• Reliable transportation.

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

• Preferred: Medical Billing Certification.

🏝️ 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 insurance options (single and family).

• Dental insurance options (single and family).

• Vision insurance options (single and family).

• 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 accordance with applicable laws; overtime is not guaranteed.