Medical Billing Specialist – EZClaim, BestNotes, Behavioral

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

📋 Description

• Review and manage the claims queue within the EHR to prepare accurate claims for submission.

• Input charges and submit claims using the billing system and clearinghouse.

• Monitor rejections from the clearinghouse, making necessary corrections and resubmitting claims in a timely manner.

• Post insurance payments and adjustments from ERAs and EOBs.

• Follow up on unpaid and underpaid claims via payer portals and phone communications.

• Address denials by identifying root causes and submitting corrections and appeals as needed.

• Track Medicaid and managed care authorization and billing specifications.

• Assist in the transition of billing processes from a previous billing company, including the review of outstanding A/R.

• Report on billing status, A/R trends, and any issues to the practice.

• Safeguard patient information and adhere to HIPAA regulations.

⛳️ Requirements

• Minimum of 2 years of experience in U.S. healthcare insurance.

• Practical experience with comprehensive medical billing processes, including claim submission, payment posting, A/R management, and handling denials.

• Knowledge of commercial insurance and government health plans.

• Proficient in using payer portals and insurance websites.

• Strong command of written and spoken English.

• Exceptional attention to detail and follow-up capabilities.

• Capacity to work independently and manage multiple patient accounts effectively.

• Reliable internet access and a conducive remote work environment.

• Experience in billing for behavioral health or substance use disorder treatment programs is preferred.

• Familiarity with EZClaim, ClaimMD, or BestNotes is advantageous.

• Preference for candidates acquainted with Utah Medicaid and Select Health.

• Experience with Medicaid managed care billing, authorizations, and level-of-care billing preferred.

• Must be available during business hours in Mountain Time.

🏝️ Benefits

• Flexible remote work arrangement.

• Full-time employment opportunity.

• Chance to contribute to a behavioral health and substance use disorder treatment program.

• Preference for applicants based in the Philippines.

• Schedule aligned with Mountain Time business hours.