Billing Specialist

About the role

We’re different than most primary care providers. We’re rapidly expanding and we need great people to join our team. The Billing Specialist assists in the day-to-day operations of the Billing Department, ensuring timely and accurate professional billing and compliance with all organizational, statutory, and federal regulations. This position serves as the “super-user” for billing systems, maintaining edits, bridge routines, and vendor/IT relationships.

Responsibilities

• Provides daily administration and coordination of billing functions.
• Supports billing and collections, and data processing to ensure accurate billing and efficient account collection.
• Reviews reports, works queues, monitors department’s productivity, and recommends improvements to enhance productivity and meet goals.
• Serves as the practice expert and go-to person for all billing processes, limited coding questions, and issue resolution.
• Maintains contacts with other departments to obtain and analyze additional patient information to document and process billings.
• Supports and performs billing department operations including medical coding, charge entry, claims submissions, payment posting, accounts receivable follow-up, and reimbursement management.
• Audits current procedures to monitor and improve efficiency of billing and collections operations.
• Ensures billing operations comply with department protocol and follow Federal, State, and payer regulations, guidelines, and requirements.
• Participates in the development and application of operating policies and procedures.
• Reviews and interprets operational data to assess need for procedural revisions and enhancements.
• Participates in the design and implementation of systems to enhance revenue and operating efficiency.
• Assists in recruiting, hiring, training, disciplining, and recommending termination of Medical Billers to maintain a skilled and productive workforce.
• Performs other duties as assigned and modified at manager’s discretion.

Requirements

• Good communication skills, both oral and written.
• Ability to analyze data and work independently.
• Ability to develop and maintain professional, service-oriented relationships with physicians, insurance companies, and healthcare providers.
• Understanding and compliance with policies and procedures.
• Knowledge of insurance guidelines, Medicare, Medicaid, and Commercial Payers.
• Ability and willingness to travel locally, regionally, and/or nationally up to 10% of the time; flexible to work weekends as needed.
• Spoken and written fluency in English.

Qualifications

• Associate degree required; Bachelor’s Degree or equivalent preferred.
• Two years’ experience in a Patient Accounts setting required.
• Minimum three years’ experience with billing regulations, including certifications, authorizations, insurance assignments, coordination of benefits, and compliance.
• Medical Billing and Coding Certification required or ability to obtain within 1 year.

Pay

The posted pay range represents the base hourly rate for this position: $22.00 - $31.42. Final compensation will depend on experience, education, geographic location, and other relevant factors. This position may also be eligible for bonuses or commissions.

Benefits

ChenMed offers comprehensive benefits, career development, and advancement opportunities. For more details, visit our benefits page.