Billing Support Specialist

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

📋 Description

• Oversee designated payers within the Revenue Cycle Management team.

• Examine claim denials thoroughly.

• Adapt to changing payer requirements efficiently.

• Prioritize and effectively resolve intricate claims.

• Collaborate with cross-functional teams to assess operational and denial patterns.

• Spot opportunities to enhance workflows and improve claim results.

• Leverage technical knowledge, critical thinking, teamwork, and data-driven insights to boost revenue cycle performance.

• Offer guidance to offshore team members regarding payer-specific workflows, claim resolution techniques, and operational procedures.

• Support onboarding processes.

• Address workflow inquiries.

• Disseminate best practices and encourage continuous learning within the team.

⛳️ Requirements

• Minimum of 2 years of experience in healthcare billing, insurance, patient relations, or medical claims roles.

• In-depth knowledge of insurance policies, claim processing, appeals, and recoupment processes.

• Thorough understanding of Denial Language and Carrier CARC Codes.

• Expert knowledge of the Life Cycle of a Claim.

• Strong critical thinking skills for assessing complex cases, identifying solutions, and making well-informed decisions.

• Basic to intermediate proficiency in Excel, including data formatting, formulas, basic charts, and pivot tables.

• Prior experience in mental health or behavioral health billing and collections is preferred.

• Familiarity with electronic health record (EHR) systems and billing software, such as AdvancedMD, is preferred.

• Ability to handle multiple tasks, prioritize workloads, and meet tight deadlines in a dynamic environment is preferred.

• Excellent organizational skills for managing various cases, correspondence, and documentation with a keen eye for detail is preferred.

• At least 1 year of experience collaborating with or leading offshore teams is preferred.

• Candidates must reside in the United States; currently not hiring in Hawaii.

🏝️ Benefits

• Fully remote work environment.

• Competitive pay and benefits.

• Comprehensive health benefits, including medical, dental, vision, life, disability, and FSA/HSA.

• Access to a 401(k) plan.

• Generous leave policies, including two company-wide shutdown weeks each year for self-care (for most employees).

• Paid parental leave available for all parents, including birthing, non-birthing, adopting, and fostering.

• Employee Assistance Program (EAP).

• Quarterly departmental stipend for team-building activities or in-person gatherings.

• Community and employee resource groups.

• Stipend for new hire home office setup.

• Monthly stipend of $50 to assist with internet or cell phone costs.

• Ongoing wellness initiatives throughout the year.

• Monthly wellness stipend of $50.

• Equity opportunities.