Billing Specialist
Colorado
Admin – Billing /
Full-time /
Hybrid
Thank you for your interest in joining the team here at Woven Care! This is your first step in joining a dynamic outpatient community that has been serving families for over 16 years. Not only will you have the chance to collaborate with a multidisciplinary team of occupational, physical, speech, and behavior therapists. You'll be part of a child-centered, collaborative approach with a mission to change lives and CHANGE THE WORLD!
Each day, you'll have the opportunity to be the guiding light for every child and family in our community. How will you do this? By delivering top-notch therapy and unwavering support to everyone who walks through our doors. You'll embark on a journey with each family, helping them achieve greater independence, boost their confidence, and improve their quality of life. Join us and make a real difference, one smile at a time!
As a growing organization, we are looking for a full-time Billing Specialist to help us in managing our end-to-end revenue and collections cycle with third-party payors and clients. The Billing Specialist will be an integral part of the clinical support team, proactively managing our relationships with payor partners and ensuring timely and complete post-service collections.
THIS IS A REMOTE POSITION FOR INDIVIDUALS LOCATED IN COLORADO
Compensation Range:
- $22-$25/hour
Essential Duties and Responsibilities:
- Timely, complete, and accurate initial submission of claims, follow-up, and re-submission of claims, as necessary
- Own and nurture payor relationships, managing follow-up on special projects and resubmission of denied claims
- Monitor and report on aging of accounts receivable and reason codes for claim denials
- Investigate claim denials timely, identify reasons for denials, and take appropriate actions to appeal or correct denied claims to ensure maximum reimbursement.
- Collaborate with client intake department, authorizations department, and other internal stakeholders on day-to-day billing functions and special projects
- Reconcile and distribute accurate and timely patient account statements
- Initiate collections activities for past due accounts and negotiate payment plans or arrangements
- Post collections to practice management software and process remittances from payors
- Recommend and implement process improvements in the areas of revenue cycle management, billing, payor relations, and compliance
- Maintain positive relationships with all current clients, prospective clients, clinical staff, prospective employees, fellow team members and referral sources
- Communicate effectively with families on benefits and insurance costs
- Ensure compliance with relevant healthcare regulations, coding guidelines, insurance policies, and follow best practices for medical billing and coding
Essential Skills:
- Highly organized, structured thinker who is detail-oriented and thrives working in the weeds
- Unwavering focus on customer service, delivering an exceptional experience to both clients and clinicians
- Resilience in pursuing projects until completion; able to push for outcomes respectfully and professionally
- Clear written and verbal communication and strong interpersonal skills; comfortable with cold-calling and demanding escalation from payors where necessary
- Ability to work independently with minimal supervision and lead with a solution-oriented mindset
- Strong computer and IT skills with the ability to independently set up office equipment at a home workstation (remote workers)
- Strong proficiency with Microsoft Office (Microsoft Word, Excel, PowerPoint, and Outlook)
- Intermediate level in understanding medical terminology and mathematics
Qualifications:
- Bachelor’s degree in a related field (Medical Billing) or 5 years of experience in healthcare billing/collections, pre-authorizations, and payment posting
- Experience in speech, occupational, and physical therapy preferred but not required
- Experience using Therabill EMR preferred but not required
Location and Schedule:
- Remote opportunity but teammate must reside in Colorado.
- Monday-Friday 8:00 am - 5:00 pm | 40 hours per week
#5-2024
Are you ready to help us CHANGE THE WORLD??? APPLY TODAY. Joe Ancona, our Hiring Manager, will reach out to get you started on the journey to CHANGING LIVES!
