Billing Specialist

📋 Description

• Accountable for upholding Revenue Cycle Services and collaborating with various departments to resolve billing issues and denials that necessitate clinical expertise.

• Tasked with investigating, managing, and resolving 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 Accounts Receivable metrics and performance.

• Stay organized to fulfill all necessary deadlines and timeframes for both customer and organizational requirements.

• Contribute to the development of processes and procedures for each assigned account.

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

• Maintain regular communication with your assigned clients to inform them of identified trends and suggest resolutions.

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

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

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

• Assist with additional projects as assigned by Operations leadership.

⛳️ Requirements

• Education: High School Diploma or Equivalent

• Experience: 1-2 Years in Medical Accounts Receivable

• Knowledge of ICD-10 and CPT coding

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

• Understanding of the complete revenue cycle model

• In-depth knowledge of ICD and CPT application, best practices, and tools used in the healthcare sector, including 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 with Athena is preferred

• Preferred experience in Behavioral Health

• EPIC experience 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, and 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, and a 401(k) retirement package with company matching.

• 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.