Billing Specialist
Remote from approved states (CA, CO, IL, MA, MD, NJ, NY, OR, and WA)Full-TimeMiddle
Salary$60,000 - $65,000 a year
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Job Details
- Experience
- 2+ years
- Required Skills
- Microsoft ExcelGoogle SheetsEHRHIPAA
Requirements
- 2+ years experience as a Billing Specialist in a healthcare setting (preferably in a telehealth setting)
- Deep expertise in Medicaid billing guidelines, including familiarity with state-specific reimbursement rules and eligibility verification
- Strong proficiency in ICD-10, CPT, and HCPCS coding
- Proven experience managing the full claims lifecycle, including submission, denial management, and appeals
- Hands-on experience with Electronic Health Records (EHR) and Revenue Cycle Management (RCM) systems
- Solid understanding of HIPAA regulations and a commitment to maintaining patient data privacy
- Strong attention to detail and accuracy
- Ability to effectively communicate with patients, insurance companies, and internal stakeholders
- Proficient in using Excel or Google Sheets
- Ability to work independently in a fast-paced environment
- Strong organizational and time management skills
- Passion for advancing equitable healthcare
Responsibilities
- Ensure a smooth, efficient, and timely claim submission process with minimal denials, including identifying gaps in claims
- Follow up on unpaid claims, denials, and appeals to ensure maximum reimbursement
- Investigate and resolve billing discrepancies or coding issues
- Collaborate with internal teams, including clinicians, to provide charting requirements and necessary documentation for claims submission
- Train team members on billing processes and create workflows for billing operations
- Provide support and guidance to patients regarding their insurance coverage, financial assistance, and billing inquiries
- Manage abortion fund invoicing and reimbursements
- Maintain accurate and organized billing records and documentation
- Generate and analyze reports to monitor billing performance and identify areas for improvement
- Support new payor partnerships, working collaboratively with internal and external stakeholders to own billing and coding workflows
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