Billing Specialist

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

📋 Description

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

• Accurately code and enter patient and charge information into the billing system.

• Follow up on outstanding claims and/or charges.

• Review and address payer denials, including appeals, coding corrections, and medical necessity criteria.

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

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

• Respond to billing queries and inquiries from patients and internal staff.

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

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

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

• Keep the supervisor informed about accounts receivable issues.

• Timely respond to requests from the billing company.

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

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

• Create, maintain, and update reports as needed.

• Uphold confidentiality and comply with HIPAA regulations.

• Engage in and complete necessary training sessions and in-services.

• Carry out additional duties as assigned.

⛳️ Requirements

• High School Diploma or equivalent, with a minimum of three (3) years of relevant experience; or 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.

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

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

• Ability to build and maintain effective working relationships with doctors, clinical staff, co-workers, and the public.

• Capability to work independently as well as collaboratively in a team environment.

• Ability to follow both verbal and written instructions accurately.

• Willingness to work a flexible schedule.

• Capacity to respond with patience and understanding during stressful situations related to patient health and emergencies.

• Ability to manage multiple tasks and prioritize effectively.

• Exceptional attention to detail.

• Strong organizational skills.

• Proficiency in problem-solving and reasoning.

• Capability to meet established quality standards.

• Professional demeanor and appearance.

• Familiarity with CPT and ICD-10 coding regulations.

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

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

• Strong commitment to providing excellent customer service.

• Compliance with relevant organizational policies and regulations.

• High ethical and professional standards of conduct.

• Desire for continuous improvement in professional performance.

• 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) with employer match.

• 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, Accident, Critical Illness, and Hospital Indemnity insurance options.

• Eligibility for overtime pay in accordance with applicable laws.

• Flexible schedule.