United States onlyAs 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.
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 related field
- Two to four 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
