Medical Billing Specialist - Remote

Schedule

Monday-Friday, 40 hours per week, 8am-5pm in your time zone. Remote position.

Responsibilities

• Responsible for maintaining Revenue Cycle Services, and other departments with resolution of billing issues and/or denials requiring clinical expertise.
• Responsible for researching, working, and resolving claim denials and rejections in your assigned client.
• Assume ownership over your assigned clients for all aspects of the billing cycle, including Charges, Payments, and AR metrics and performance.
• Keep on task to meet all required deadlines and timeframes for customer and company needs.
• Assist in the development of processes and procedures for each assigned account.
• Monitors and analyzes current industry trends and issues for potential organizational impact.
• Communicate regularly with your assigned clients to alert them of trends identified and recommended resolutions.
• Collaborate with all departments to ensure billing accuracy and efficiency.
• Deliver timely required reports to the management team; initiates and communicates the resolution of issues, such as payer denial trends, collections accounts, inaccurate or incorrect charges.
• Ensure compliance with all relevant regulations, standards, and laws.
• Assist with any other projects as assigned by the Operations leadership.

Qualifications

Education: High-School Graduate or Equivalent.

Experience: 1-2 years of Medical Accounts Receivable experience; Athena experience highly preferred.

Skills

• ICD-10 and CPT knowledge
• Computer skills: Excel, Word, Outlook, Medical Billing Software Systems
• Knowledge of full cycle revenue model
• Thorough knowledge of ICD and CPT application, correct practices, and tools utilized within the healthcare industry, as well as audits
• Ability to interpret documents, medical records, and other documentation related to medical claims
• Strong technical and computer skills (PM/EHR Software, Excel, Outlook, MS Office, Web)
• Ability to identify and resolve trends within your workflow
• Behavioral Health experience preferred

Benefits

• Multiple levels of medical, dental and vision coverage - with medical plans starting at just $10 per pay period - tailored benefit options for part-time and PRN employees, and more.
• Financial Protection & PTO: Life, accident, critical illness, hospital indemnity insurance, short- and long-term disability, paid family leave and paid time off.
• Financial & Career Growth: Higher education and certification tuition assistance, loan assistance and 401(k) retirement package and company match.
• Employee Well-being: Mental, physical, and financial wellness programs (free gym memberships, virtual care appointments, mental health services and discount programs).
• Professional Development: Ongoing learning and career advancement opportunities.

Pay

Pay range: $18-$22 per hour depending on experience. The final agreed upon compensation is based on individual education, qualifications, experience, and work location.