Billing Support Specialist
New
R
RulaHealthcare billing
Remote - United States; must be based in United States, currently not hiring in HawaiiFull-TimeJunior
Salary$55,000 - $61,750; $55,000 – $61,750 • Offers Equity • Range above includes base salary, there is no bonus for this role.
Apply NowOpens the employer's application page
Job Details
- Experience
- 2+ years experience in a healthcare billing, insurance, patient relations, or medical claims role
- Required Skills
- Microsoft ExcelGoogle Sheets
Requirements
- Have 2+ years of experience in a healthcare billing, insurance, patient relations, or medical claims role.
- Demonstrate comprehensive understanding of insurance policies, claim processing, appeals, and recoupment procedures.
- Have thorough knowledge of denial language and carrier CARC codes.
- Have expert understanding of the life cycle of a claim.
- Apply critical thinking to evaluate complex cases, identify solutions, and make informed decisions.
- Have intermediate proficiency with Google Sheets or Excel, including formatting data, creating basic charts, and creating pivot tables independently.
- Preferred: have experience billing and collecting in the mental or behavioral health space.
- Preferred: have working knowledge of medical coding, including identifying coding-related denials, recognizing billing discrepancies, and supporting claim resolution.
- Preferred: have CPC certification.
- Preferred: be proficient with EHR systems, billing software, or platforms such as AdvancedMD, eClinicalWorks, or athenahealth.
- Preferred: have 2+ years of experience interacting with offshore vendors as a partner or direct lead.
Responsibilities
- Manage assigned payers on the Revenue Cycle Management team.
- Investigate claim denials and navigate evolving payer requirements.
- Prioritize and accurately resolve complex claims.
- Partner with cross-functional teams to investigate operational and denial trends.
- Identify opportunities to optimize workflows and claim outcomes.
- Serve as the pod's go-to expert for payer workflows, claim resolutions, and operational standards.
- Help guide new-hire onboarding and resolve team questions.
- Embed best practices across the pod.
View Full Description & ApplyYou'll be redirected to the employer's site
