Medical Billing Specialist

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

📋 Description

• Oversee Revenue Cycle Services and other departments in resolving billing discrepancies and denials that require clinical expertise.

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

• Manage all components of the billing cycle for assigned clients, encompassing charges, payments, and accounts receivable metrics and performance.

• Adhere to stipulated deadlines and timelines to meet both customer and company requirements.

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

• Track and assess industry trends and issues for their potential impact on the organization.

• Engage with assigned clients regarding identified trends and propose recommended solutions.

• Work collaboratively with departments to ensure accuracy and efficiency in billing.

• Provide necessary reports to management while communicating resolutions for payer denial trends, collection accounts, and erroneous or incorrect charges.

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

• Support additional projects as assigned by Operations leadership.

⛳️ Requirements

• High school diploma or equivalent.

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

• Experience with Athena is highly desirable.

• Knowledge of ICD10 and CPT coding.

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

• Understanding of the full cycle revenue model.

• Comprehensive knowledge of ICD and CPT applications, correct practices, and tools utilized in the healthcare industry, including audits.

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

• Strong technical and computer skills, including proficiency in PM/EHR Software, Excel, Outlook, MS Office, and Web applications.

• Capability to identify and address trends within your workflow.

• Behavioral Health experience is preferred.

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

🏝️ Benefits

• Various levels of 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.

• Higher education and certification tuition assistance.

• Loan assistance.

• 401(k) retirement plan with company match.

• Programs for mental, physical, and financial wellness.

• Complimentary gym memberships.

• Virtual care appointments.

• Mental health services.

• Discount programs.

• Continuous learning and career advancement opportunities.