Billing Support Specialist

This is a fully remote position, open to applicants in Alabama, +2 more states.

📋 Description

• Maintain site-specific information for designated clients.

• Ensure the appropriate contract rate is applied to invoicing.

• Manage billing rejections in clearinghouses, including Waystar.

• Communicate with and supply documentation to coding and billing departments, such as operative notes, implant logs, and pathology reports.

• Coordinate document management between the coding team, billing team, and client to facilitate efficient claim billing.

• Provide feedback, guidance, and training support to billers to rectify and prevent charge posting mistakes.

• Oversee the quality of charge entry and claim submission.

• Guarantee timely filing of claims through electronic or paper submission.

• Resolve and reconcile submissions, rejections, and edits on a daily basis.

• Maintain a comprehensive understanding of the insurance collection process.

• Address problems related to assigned tasks.

• Enter charge corrections as provided by AR Specialists and rebill payers when necessary.

• Amend and resend rejected claims.

• Produce end-of-month unbilled reporting.

• Utilize knowledge of CPT codes, ICD codes, and modifiers.

• Accurately calculate pricing for implants and supplies based on site specifics.

• Communicate professionally with both internal and external clients.

• Retrieve case documents for audits as required.

• Post for clients with offshore restrictions as necessary.

• Perform other assigned responsibilities.

⛳️ Requirements

• Knowledge of medical billing and insurance guidelines is essential.

• Proven experience managing payer rejections during billing, including but not limited to commercial, government, out-of-network, workers’ compensation, and auto-vehicle claims.

• Proficiency with computers and Windows-based software, including Microsoft Word, Excel, and Outlook.

• Excellent command of written and spoken English.

• Collaborative attitude when engaging with co-workers, management, patients, and external contacts.

• Ability to foster a positive company image with patients, insurance providers, and the public.

• Strong attention to detail and efficiency while meeting tight deadlines.

• Exceptional capability to follow both oral and written instructions.

• High level of flexibility and professionalism.

• Experience in an ancillary or Ambulatory Surgery Center (ASC) setting.

• Working knowledge of IPAs and health plans is necessary.

• Comfortable with both electronic and manual payer follow-up.

• Ability to quickly identify trends and escalate issues as needed.

• Proficient in reading, analyzing, and interpreting insurance plans, financial reports, and legal documents.

🏝️ Benefits

• Benefit package including Medical, Vision, Dental, Short Term Disability, Long Term Disability, and Life Insurance

• Vacation/Sick time

• 401(k) retirement plan with company match

• Paid Holidays

• SIS Cares Day

• Hybrid or Remote environment depending on the role