Billing Specialist

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

📋 Description

• Accurately prepare, review, and submit billing claims for patients.

• Examine patient bills for precision and completeness while obtaining any missing information.

• Process both electronic and paper claims utilizing billing software.

• Identify, rectify, and resubmit claims impacted by payer edits or denials.

• Recognize and bill secondary and tertiary insurance providers.

• Follow up on pending claims to ensure prompt payment and reimbursement.

• Liaise with insurance companies, internal departments, and clinical staff regarding billing questions.

• Maintain precise billing documentation in accordance with company policies, payer requirements, and regulatory standards.

• Detect billing discrepancies and acquire or communicate necessary information for claim resolution.

• Prioritize tasks to meet deadlines and productivity goals.

• Provide exceptional customer service to patients, staff, and insurance representatives.

• Uphold the confidentiality of company, patient, insurance, billing, and financial data.

• Complete mandatory training and perform other assigned responsibilities.

⛳️ Requirements

• High School Diploma or equivalent is required.

• A minimum of two (2) years of experience in medical billing is necessary.

• Strong attention to detail and accuracy in data entry and mathematics is essential.

• Ability to prioritize tasks and meet deadlines in a fast-paced environment.

• Effective communication skills with clinical staff, insurance representatives, patients, and other stakeholders, both internal and external.

• Familiarity with medical billing processes and payer requirements.

• Capability to problem-solve and follow up on unresolved issues.

• Proficient in accurately reviewing and processing billing and claim information.

• Ability to identify claim errors, missing information, payer edits, and denials, taking appropriate action to facilitate resolution.

• Capacity to manage multiple claims, follow-up activities, and competing priorities while ensuring accuracy and productivity.

• Willingness to learn and effectively use billing software, electronic systems, and other necessary technology for the role.

• Commitment to maintaining confidentiality and appropriately handling sensitive patient and financial information.

• Strong organizational and time-management abilities.

• Completion of all required training as specified by the company and accreditation/licensing bodies.

🏝️ Benefits

• Medical, Dental, and Vision Insurance.

• Flexible Spending Accounts.

• Life Insurance.

• Paid Time Off.

• 401(k) with Company Match.

• Tuition Reimbursement.

• Employee Recognition Programs.

• Referral Bonus opportunities.