Senior Billing Specialist

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

📋 Description

• Oversee designated Pre-Bill responsibilities within the Revenue Cycle Management team

• Analyze claim denials

• Adapt to changing payer regulations

• Prioritize and effectively resolve intricate claims

• Offer leadership and support to offshore teams

• Supervise automated workflows to maintain operational efficiency

• Collaborate with cross-functional teams to assess operational trends

• Discover opportunities to enhance workflows and claim results

• Leverage technical skills, critical analysis, teamwork, and data-driven insights to boost revenue cycle efficiency and operational performance

⛳️ Requirements

• Minimum of 3 years experience in Medical Billing

• Demonstrated ability to enhance and streamline processes utilizing Salesforce, AMD, payer portals such as Availity, Google Suite/Microsoft Office, Excel, and Google Sheets

• Thorough understanding of the complete claims lifecycle and front-end revenue integrity

• Extensive knowledge of front-end claim edits, rejection codes, and payer-specific billing requirements

• Capability to assess complex cases, propose solutions, and make educated decisions

• Previous experience in Mental Health or Behavioral Health Billing and Collections is preferred

• Basic to intermediate Excel skills, including data formatting, basic charts, and pivot tables are preferred

• Familiarity with electronic health record (EHR) systems and billing software such as AdvancedMD is preferred

• Ability to manage multiple tasks, prioritize workloads, and meet strict deadlines in a dynamic environment is preferred

• Strong organizational skills for handling high-volume pre-bill work queues, documentation, and tracking front-end claim statuses are preferred

• At least 1 year of experience partnering with or leading Offshore Teams is preferred but not mandatory

• Candidates must be located in the United States; currently, we are not hiring in Hawaii

🏝️ Benefits

• Completely remote work environment

• Working hours designed to promote a healthy work-life balance

• Competitive salary and benefits with complete transparency regarding pay ranges

• Medical, dental, vision, life, disability, and FSA/HSA options

• Access to a 401(k) plan

• Generous time-off policies, including two company-wide shutdown weeks each year

• Paid parental leave for all types of parents, including birthing, non-birthing, adopting, and fostering

• Employee Assistance Program (EAP)

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

• Community and employee resource groups

• Stipend for new hire home office setup

• $50 monthly stipend for internet or cell phone expenses

• Year-round wellness initiatives

• $50/month wellness stipend

• Equity opportunities