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.

• Analyze claim denials to determine root causes.

• Adapt to changing payer requirements with ease.

• Ensure that complex claims are prioritized and resolved with precision.

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

• Identify areas for workflow optimization and improvement in claim outcomes.

• Act as the primary expert for payer workflows, claim resolutions, and operational protocols within the pod.

• Assist in the onboarding process for new hires.

• Address and resolve inquiries from team members.

• Enhance performance by implementing best practices throughout the pod.

• Streamline processes using data-driven insights.

• Boost revenue cycle efficiency and overall operational performance.

⛳️ Requirements

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

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

• Strong understanding of Denial Language and Carrier CARC Codes.

• Expert knowledge of the Life Cycle of a Claim.

• Capacity to apply critical thinking for evaluating complex cases, identifying solutions, and making informed decisions.

• Intermediate skills in Google Sheets/Excel, including data formatting, basic chart creation, and independent pivot table development.

• Must reside in the United States; currently, we are not hiring in Hawaii.

• Previous experience in billing and collecting in the mental/behavioral health sector is preferred.

• Familiarity with medical coding, including identifying coding-related denials, recognizing billing discrepancies, and assisting in claim resolution (CPC certification is a plus).

• Proficient in electronic health record (EHR) systems, billing software, and platforms such as AdvancedMD, eClinicalWorks, and athenahealth (preferred).

• Ability to manage multiple tasks, prioritize workload, maintain meticulous attention to detail, and meet strict deadlines in a fast-paced setting (preferred).

• At least 2 years of experience working with offshore vendors (preferred).

🏝️ Benefits

• Fully remote work setting.

• Competitive salary and comprehensive benefits package.

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

• Access to a 401(k) plan.

• Generous time-off policies, featuring 2 company-wide shutdown weeks annually for self-care (for most employees).

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

• Employee Assistance Program (EAP) to support employee well-being.

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

• Access to community and employee resource groups.

• Stipend for home office setup for new hires.

• $50 monthly stipend to assist with internet or cell phone expenses.

• Year-round wellness initiatives.

• $50/month wellness stipend.

• Equity opportunities.

• Full transparency regarding pay ranges, regardless of your location within the United States.