Billing Specialist

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

📋 Description

• Accountable for overseeing Revenue Cycle Services and collaborating with other departments to resolve billing issues and denials that require clinical expertise.

• Tasked with investigating, managing, and addressing claim denials and rejections for your designated client.

• Take full responsibility for all facets of the billing cycle for your assigned clients, including Charges, Payments, and AR metrics and performance.

• Stay focused on achieving all necessary deadlines and timeframes to meet both customer and company demands.

• Aid in creating processes and procedures tailored for each assigned account.

• Monitor and evaluate current industry trends and issues for potential impact on the organization.

• Regularly communicate with your assigned clients to inform them of identified trends and suggested resolutions.

• Work collaboratively with all departments to guarantee billing accuracy and efficiency.

• Provide timely reports to the management team; initiate and convey the resolution of issues such as payer denial trends, collection accounts, and inaccuracies in charges.

• Ensure adherence to all applicable regulations, standards, and laws.

• Support any additional projects as directed by Operations leadership.

⛳️ Requirements

• Education: High School Graduate or Equivalent.

• Experience: 1-2 Years of Medical Accounts Receivable Experience; Athena experience is highly preferred.

• Preferred Skills:

• - Knowledge of ICD10 and CPT.

• - Computer Skills: Proficiency in Excel, Word, Outlook, and Medical Billing Software Systems.

• - Understanding of the full cycle revenue model.

• - Comprehensive knowledge of ICD and CPT applications, correct practices, and tools used in the healthcare industry, along with audits.

• - Capability to interpret documents, medical records, and other materials related to medical claims.

• - Strong technical and computer skills (PM/EHR Software, Excel, Outlook, MS Office, Web).

• - Ability to identify and address trends within your workflow.

• - Experience in Behavioral Health is preferred.

🏝️ Benefits

• Comprehensive Benefits: Various levels of medical, dental, and vision coverage — with medical plans starting at just $10 per pay period — customized benefit options for part-time and PRN employees, and more.

• Financial Protection & PTO: Life, accident, critical illness, hospital indemnity insurance, short- and long-term disability, paid family leave, and paid time off.

• Financial & Career Growth: Tuition assistance for higher education and certification, loan assistance, a 401(k) retirement package, and company match.

• Employee Well-being: Programs for mental, physical, and financial wellness (including free gym memberships, virtual care appointments, mental health services, and discount programs).

• Professional Development: Continuous learning and career advancement opportunities.