Billing Specialist
New
J
JobgetherHealthcare billing
Remote. Must reside in Minnesota., Working hours between 6:00 a.m. and 6:00 p.m. Central Time.Full-TimeSenior
Salary51,200 - 56,000 USD per year
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Job Details
- Experience
- At least 5 years of medical billing experience.
- Required Skills
- Microsoft Excel
Requirements
- High school diploma or equivalent.
- At least 5 years of medical billing experience, including claims submission, accounts receivable follow-up, denial management, and appeals.
- Experience billing Minnesota Medical Assistance (MA), researching unpaid claims, resolving denials, and meeting payer requirements and filing deadlines.
- Experience with professional billing using CMS-1500 claim formats, electronic claims submission, payer portals, and electronic remittance information.
- Ability to identify billing issues related to insurance eligibility, authorizations, provider enrollment, and documentation requirements.
- Proficiency in medical billing systems, electronic health records, Microsoft 365, and Excel.
- Ability to work independently in a remote environment and collaborate with cross-functional teams.
- Must reside in Minnesota and successfully complete the required background checks.
- Experience working with Minnesota DHS or other state healthcare program representatives is preferred.
- Familiarity with MN–ITS, EIDBI billing, and Minnesota Medicaid managed care plans is preferred.
- Familiarity with CentralReach and a Certified Professional Biller (CPB) credential or equivalent certification is preferred.
- Experience in autism services, behavioral health, outpatient healthcare, or commercial insurance billing is preferred.
Responsibilities
- Prepare, review, and submit claims to Minnesota Medical Assistance, managed care organizations, and commercial insurers.
- Monitor accounts receivable and claim statuses, investigate unpaid or underpaid claims, and follow up with payers.
- Analyze claim rejections and denials, correct billing errors, prepare appeals, and track deadlines.
- Escalate unresolved or high-risk claims to appropriate teams and stakeholders.
- Verify insurance eligibility and coverage, and coordinate resolution of authorization, provider enrollment, and payer-related requirements.
- Maintain accurate billing profiles, charges, payment postings, and adjustments.
- Respond to payer correspondence and documentation requests, submitting records accurately and on time.
- Document claim follow-ups, payer communications, resolution efforts, and next steps in designated systems.
- Identify recurring billing issues and share findings with leadership to support approved process improvements.
- Collaborate with Revenue Cycle, Credentialing, Authorizations, and clinical teams to resolve reimbursement barriers.
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