Medical Billing Specialist

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

📋 Description

• Oversee Revenue Cycle Services and collaborate with other departments to resolve billing issues and denials that necessitate clinical expertise.

• Investigate, manage, and address claim denials and rejections for designated clients.

• Take full responsibility for the billing cycle of assigned clients, encompassing charges, payments, and performance metrics related to accounts receivable.

• Adhere to necessary deadlines and timeframes to meet both customer and company requirements.

• Contribute to the creation of processes and procedures for designated accounts.

• Observe and evaluate industry trends and issues that may affect the organization.

• Engage with assigned clients to discuss identified trends and propose solutions.

• Collaborate with all departments to guarantee billing accuracy and operational efficiency.

• Provide necessary reports to management and communicate solutions for payer denial trends, collection accounts, and any inaccuracies in charges.

• Ensure adherence to relevant regulations, standards, and laws.

• Support additional projects assigned by Operations leadership.

⛳️ Requirements

• High School Diploma or equivalent qualification.

• 1-2 years of experience in Medical Accounts Receivable.

• Familiarity with ICD10 and CPT coding.

• Proficient in computer applications: Excel, Word, Outlook, and medical billing software systems.

• Understanding of the complete revenue cycle model.

• Extensive knowledge of ICD and CPT applications, best practices, and tools used in the healthcare industry, including audits.

• Ability to interpret documents, medical records, and other paperwork related to medical claims.

• Strong technical and computer skills, particularly with PM/EHR Software, Excel, Outlook, MS Office, and web applications.

• Capacity to identify and resolve trends within your workflow.

• Experience with Athena is preferred.

• Prior experience in Behavioral Health is preferred.

• Familiarity with EPIC is preferred.

• Must be authorized to work in the United States without requiring employer sponsorship.

🏝️ Benefits

• Multiple options for medical, dental, and vision coverage, with medical plans starting at $10 per pay period.

• Customized benefit options available for part-time and PRN employees.

• Life, accident, critical illness, and hospital indemnity insurance.

• Short and long-term disability insurance.

• Paid family leave.

• Paid time off.

• Assistance with tuition for higher education and certification.

• Loan assistance.

• 401(k) retirement plan with company matching.

• Programs for mental, physical, and financial wellness.

• Complimentary gym memberships.

• Virtual care appointments.

• Mental health services.

• Discount programs.

• Continuous learning and career advancement opportunities.