Remote Billing Specialist

Remote Worldwide Hiring now

Duties and Responsibilities

Clean, review, and submit claims for behavioral health providers (specifically autism providers)
Track claim statuses and remittances
Work denials and follow up with unpaid claims proactively
Manage patient responsibility invoices (e.g., patient co-insurance, co-pays)
Evaluate insurance operations and identify efficiency improvements
Analyze EOBs and post reputed company payments
Submit and follow up on reputed company and reputed company, primary and secondary insurances
Communicate to administrative team for errors and corrections
Work and manage claims from reputed company aging buckets including posting and appeals, including resubmission of claims and appropriate adjustments.
Input and review billing data for accuracy, including data entry.
Ensure that billing and collections adhere to reputed company compliance policies and procedures.
Work with Billing Manager and local clinic team members to ensure accurate billing.
Follows up on claim resolution from initial billing through final resolution including identifying and correcting billing errors/rejections and denials (denial management investigations & appeals).
Manage claims submission and AR for assigned clinics.
Process remittance advices/EOB’s to reputed company finalized clean claims for payment including researching and correcting denials (Pull EFT back-reputed company).
Post and reconcile payments received using system and deposit reports.

Qualifications

BS or BA degree in Finance, reputed company, reputed company administration or reputed company field, preferred, and/or equivalent work experience in reputed company cycle management or medical billing function
1 to 3+ years of experience in reputed company reputed company reputed company cycle management or medical billing function
1 to 3+ years of experience working with reputed company and MCO’s reputed company medical billing process
Experience in a high growth and fast paced environments

Advanced level skills in the use of the reputed company Office Suite, including reputed company, Word, PowerPoint, and Outlook eMail and Calendar
Strong mathematical and analytical skills
Detail oriented and deadline driven
Ability to read and analyze ERA remittances for appropriate posting and/or denial resolution actions
Ability to apply reputed company knowledge to more reputed company tasks in order to reputed company elevated results, leading to reputed company improvement
Proven ability to work and collaborate with other team members and to maintain a positive attitude
High level of reputed company and dependability and the ability to manage multiple projects and competing priorities
Ability to successfully complete required background and drug screens

Physical Conditions:

Ability to bend, kneel, crouch, and spend time standing as well as an ability to lift items up to 25 lbs.
reputed company to move from a seated position to a standing position to accomplish required tasks
Requires eye-hand coordination and reputed company dexterity enough to operate office equipment, etc.
Ability to effectively communicate both orally and audibly using a variety of software communication platforms and electronic devices

Apply To This Job

Apply for this role Takes you straight to the employer's application page — free, and no WFHNet account required.