Billing Specialist

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

📋 Description

• Utilize billing manuals provided by the provider to gather guidelines and requirements for billing.

• Manage the import verification process and escalate issues related to import/export files.

• Execute special handling of billing, which includes interim bills, reviewing overlaps, and redistributing funds for accurate claim creation.

• Investigate and resolve billing rejections.

• Timely submission of technical or professional medical claims to insurance companies.

⛳️ Requirements

• A minimum of 2 years of experience in medical collections or billing.

• Proficient understanding of ICD-10, CPT, HCPCS, and NCCI.

• Intermediate familiarity with third-party billing guidelines.

• Knowledge of billing claim forms, specifically UB04/1500.

• Understanding of payor contracts at an intermediate level.

• Proficient in Microsoft Word and Excel.

• Intermediate working knowledge of health information systems, such as EMR, claim scrubbers, and patient accounting systems.

• Preferred: Familiarity with one or more systems including EPIC, Cerner, STAR, Meditech, CPSI, Invision, PBAR, All Scripts, or Paragon.

• Preferred: Knowledge of the DDE Medicare claim system.

• Preferred: Awareness of government regulations and guidelines.

🏝️ Benefits

• Comprehensive health insurance coverage.

• Retirement plan with employer matching.

• Opportunities for professional development and training.

• Flexible work schedule options.

• Paid time off and holiday pay.