Demo

Remote Billing Specialist 1 | WFH

Get It - Executive
Pittsburgh, PA Remote Full Time
POSTED ON 3/25/2025
AVAILABLE BEFORE 4/24/2025
Job Overview

We are seeking a meticulous and motivated Billing Specialist 1 to join our dynamic team in a remote capacity. This role is integral to the effective management of patient billing services, including account follow-ups and the processing of refunds and denials. You will enjoy a significant degree of autonomy while reporting to the Manager of Billing Services, allowing you to leverage your expertise in a supportive environment.

Key Responsibilities

  • Process, edit, audit, and input service entries into the Electronic Health Record (EHR) system.
  • Generate precise claims, invoices, and patient bills for services rendered, ensuring adherence to third-party payer requirements.
  • Diligently monitor and follow up on outstanding accounts receivable balances, resolving discrepancies promptly.
  • Review Explanation of Benefits (EOB) and Remittance Advices for accuracy in payment amounts, copays, and deductibles, while identifying denials.
  • Analyze and report on the status of outstanding accounts receivable, evaluating collectability and uncovering issues that may impact payment.
  • Participate in monthly financial closings and contribute essential data and analysis on payer accounts.
  • Collaborate with the utilization review department to address any authorization-related queries.
  • Perform necessary adjustments, write-offs, charity care processing, and refunds.
  • Communicate effectively with Patient Benefit Coordinators, administrative support staff, therapists, and insurance providers to resolve patient services or funding issues.
  • Maintain current interdepartmental reports for patient accounts and collections.
  • Engage with third-party Collection Management Companies and patients regarding self-pay balances and billing inquiries.
  • Assist in the preparation and execution of fiscal year audits.
  • Work closely with the Medical Records department to gather necessary information for patient appeals and denials.
  • Participate in special projects as required and attend mandatory training sessions to remain informed and skilled.

Required Skills

  • Comprehensive understanding of healthcare billing practices and the complete billing cycle, including charge entry, claims processing, payment posting, and collections.
  • Familiarity with commercial insurance providers, prior authorizations, and claim submissions.
  • Proficient grasp of basic accounting principles.
  • Strong knowledge of patient privacy laws and healthcare compliance regulations.
  • Exceptional attention to detail and the capacity to manage multiple tasks efficiently.

Qualifications

  • High School diploma or equivalent.
  • A minimum of one year of billing experience within a healthcare setting.

Career Growth Opportunities

This position offers the potential for professional growth through engagement in special projects and participation in mandatory training sessions, providing ongoing learning and skill enhancement opportunities.

Company Culture And Values

We pride ourselves on fostering a supportive and collaborative work environment that values precision and diligence. Team members are empowered to make routine decisions while maintaining a high level of focus to ensure financial integrity.

Networking And Professional Opportunities

As part of our organization, you will have the opportunity to expand your professional network and collaborate with diverse stakeholders in the healthcare billing sector.

Employment Type: Full-Time

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