We are a unique boutique billing company, where personnel have flexible hours based on their needs!

Overview for Billing Specialist

The Billing Specialist is responsible for a variety of tasks including claims submission, appeals, and denial management of all claims for assigned clients. The Billing Specialist will primarily be responsible for Inpatient hospital claims but may also work associated outpatient claims. This position is responsible for ensuring all claims are processed in a timely manner according to a variety of insurance guidelines and ensuring maximum reimbursement.

What will be my duties and responsibilities in this job?

- Ensure billing inventory for all assigned clients is managed to the process activity metrics and financial goals as set by the company.

- Responsible for ensuring the timely and accurate billing of all accounts for assigned clients.

- Responsible for denial management of all assigned claims.

- Responsible for analyzing all remits to ensure accurate payment has been received.

- Ensure proper and timely notes are documented in, client system.

- Keeps Supervisor aware of any issues that may be impacting claims resolution.

- Helps Supervisor to build and maintain strong, long-lasting customer relationships.

- Assists co-workers with questions.

- Participates with Manager in monthly client meetings to discuss billed inventory with a focus on performance reporting and issue resolution.

- Helps Manager to build and maintain strong, long-lasting customer relationships. May be required to work on-site with client billing team as needed.

- Assist with high severity requests or issue escalations as needed

What are the requirements needed for this position?

- Minimum 3 years of experience in billing and denial management. Preferably in a hospital setting.

- Minimum 2 years of experience in all types of Insurance/Government AR follow-up

- Minimum high school diploma or GED

- Thorough knowledge of HOSPITAL billing guidelines; experienced with LTACH and IRF billing

What other skills/experience would be helpful to have?

- General knowledge of Microsoft Office

- Advanced Excel and PowerPoint skills

-HCS, Meditech, CPSI, and Point Click Care is a plus

-Insurance contract negotiations is a plus

- Strong communication skills, both written and verbal

- Excellent customer service skills

- Strong follow-up and organizational skills

- Ability to work collaboratively within a team and with limited supervision

- Ability to think strategically

- Ability to follow HIPPA policies and confidentiality processes

What are the working conditions and physical requirements of this job?

- Use of phone and computer

- Sitting for long periods of time

Join our team today where we are creating a better coordinated, increasingly collaborative, and more efficient healthcare system!

Job Type: Full-time

Pay: $40,000.00 - $50,000.00 per year

Benefits:

• Flexible schedule

Schedule:

• Monday to Friday

Experience:

• Hospital Billing: 1 year (Preferred)

Work Location: In person