Billing Specialist

This is a fully remote position, open to applicants in New Mexico.

📋 Description

• Ensure that providers accurately submit bills to health insurance or automobile (MedPay) insurance in a timely manner.

• Guarantee that appropriate insurance carriers process provider bills promptly.

• Verify provider balances to facilitate the swift distribution of settlement funds to clients.

• Participate in firm-wide huddles every Monday at 8:00 AM and daily team mini huddles from Tuesday to Friday at 8:00 AM.

• Attend biweekly meetings with the Team Lead, equipped with supporting data, to review individual metrics and set biweekly goals.

• Initiate all subrogation claims within 14 days of the signed retainer.

• Provide Med Pay and Health Insurance information to treating providers within designated timelines.

• Request final health insurance and Med Pay ledgers upon completion of treatment.

• Confirm outstanding medical balances when cases transition into negotiations and post-settlement.

• Maintain a biweekly activity level of 1,000 or more in SmartAdvocate, ensuring overdue tasks remain below 60.

• Follow up with providers to confirm that bills are submitted to the correct carrier.

• Keep accurate records of bills, payments, adjustments, and balances to aid in discount negotiations.

• Coordinate benefits that involve Med Pay, health insurance, Medicaid, Medicare, Veterans Benefits, and other federal and state programs.

• Open claims and submit documentation for Medicare and Tricare benefits.

• Oversee the client's Medicare portal.

• Handle incoming calls through the First Call Group.

• Monitor dashboard metrics/KPIs and adhere to firm policies and procedures.

• Report directly to the Settlement Department Team Lead, with secondary reporting to the Settlement Director.

⛳️ Requirements

• Minimum of 1 year of experience in billing, collections, accounts receivable/payable, bookkeeping, or legal settings.

• Experience with reading or reconciling invoices, statements, or ledgers is an advantage.

• Familiarity with insurance terminology (EOBs, claims, co-pays) is beneficial.

• Comfort with numbers, invoices, or basic bookkeeping practices.

• Excellent verbal and written communication skills.

• Strong advocacy for clients, particularly against aggressive insurance representatives or medical providers.

• Self-assured and driven to exceed expectations.

• Professional appearance and conduct.

• Eagerness to learn, develop, and inspire team members.

• Collaborative team player capable of adapting in a fast-paced environment.

🏝️ Benefits

• $16/hour with consistent bonuses.

• Comprehensive benefits package including health, dental, and vision insurance.

• Life and long-term disability insurance.

• 401(k) plan.

• Generous paid time off and select paid holidays.

• Annual company goal trip.

• A positive and rewarding work environment where learning, growth, and mutual support are integral to the culture.

• Thorough training provided.