Job Description

Overview

We are seeking an experienced Billing Specialist to join our Business Office team. In this fully remote role, you will be responsible for ensuring accurate and timely billing of healthcare claims, resolving claim issues, and supporting reimbursement processes across a variety of payer sources. The ideal candidate is detail-oriented, highly organized, and experienced in medical billing, Medicare, Medicaid, and third-party payer requirements.

If you thrive in a fast-paced environment, enjoy problem-solving, and are passionate about accurate healthcare billing, we'd love to hear from you.

Responsibilities

• Completes all third party electronic and manual billing timely and accurately in accordance with appropriate rules and regulations.
• Completes all payer specific edits identified through the billing system.
• Resolves issues associated with incomplete claims including follow up of non-transmitted claims.
• Submit adjustment claims to Medicare/Medicaid through use of online systems.
• Attaches appropriate documents when billing manual claims and or other medical records.
• Mails all manual claims to individual payers daily.
• Works all daily reports as assigned.
• Records daily productivity of claims billed and assures proper documentation in the notes of the patient accounting systems.
• Completes all monthly required in-services and educational training as required.
• Experience with Behavioral Health, including CBH, CCBH preferred
• Experience with SSI and / or Availity Pro preferred
• Other duties as assigned

Qualifications

Qualifications

• High School graduate or equivalent required.
• 5 years of related experience and/or training: or equivalent combination of education and experience is required.
• Certified CPT coder is a plus.
• Medicare and Medicaid experience is a plus.
• Recently held a position as Medicaid, Medicare or Third Party Biller or Billing Coordinator or Collection Specialist is preferred.
• Computer savvy: Microsoft Excel, Microsoft Work, Clearinghouse application and solid 10-key and mathematical skills is required. Knowledgeable in medical practices and procedures as it relates to the laws, regulations, and guidelines pertaining to HIPAA is required.
• Ability to work with minimal supervision in a busy office setting is required.

We are committed to providing equal employment opportunities to all applicants for employment regardless of an individual’s characteristics protected by applicable state, federal and local laws.