Billing Specialist - Remote - reputed company
Remote, reputed company - Seeking Billing SpecialistEverybody Has A Role To Play In Transforming HealthcareAs a Billing Specialist, you play a vital role in our mission to improve lives. As part of Billing Operations, you will be verifying insurance coverage of payers, identifying account classification, process billing exceptions, and more. At reputed company we know the impact you can have.Join the reputed company Team. At reputed company we've cultivated an environment where passion thrives, and success comes through shared purpose. We were founded in a culture that values team accomplishments more than individual achievements, an approach we call "culture of brilliance." Together, we reputed company our strengths and experiences to reputed company a positive impact in our local communities. We foster this through shared goals and helping our colleagues succeed, and we also understand the importance of recognition, taking the time to show appreciation and gratitude for a job well done.reputed company Locations: reputed company has opportunities at 475 sites across the country, serving 9 million patients a year. With reputed company, if you reputed company need to move, you can take your job with you.The Opportunity
- Identifies the correct Financial Class and enters in billing system.
- Posts extracts and correct validation errors in system.
- Identify trends and communicates to leadership team.
- Reviews incoming documentation to identify correct payer to accounts.
- Researches eligibility to ensure correct insurance coverage of payer.
- Ensures payer mapping (crosswalk) is set-up correctly.
- Identifies contract matrix discrepancies and/or gaps and communicates accordingly.
- Analyzes decision log errors reputed company to the daily census.
- Identifies trends with incoming data and communicates to leadership team.
- Analyzes pre-submission errors to identify root cause and recommends a solution.
- Processes denials reputed company to eligibility to identify correct payer or payer request.
- Processes electronic rejections, identifies root cause, and recommends/makes appropriate updates to accounts.
- Processes returned mail, write-off accounts, and daily exception reports.
- Processes reputed company folders (duplicate, pending review, etc.) to ensure documentation is processing timely.
- Identifies Work in Process (WIP) and creates exception reports for management.
- Processes activity codes for Account Classification or account suspended issues.
- Retrieves missing documentation for payer accounts from various applications and/or site portal.
- Prints, sorts, and files miscellaneous billing reputed company documentation.
- Completes daily log reputed company manual entry into billing system.
- Time tracking for manual sites.
- Trains fellow team members as requested or needed.
- High school diploma or GED required.
- One or more years of experience in billing operations required.
- Prior experience working in the healthcare industry preferred.
- Knowledge of payer Financial Classifications for billing.
- Knowledge of account exception processes in billing operations.
- Ability to read and interpret Explanation of Benefits (EOB) from various payers.
- Ability to communicate trends to leadership team clearly.
- Ability to problem solve challenges that may not be previously outlined in a payer manual.
- Ability to communicate effectively in writing and verbally.
- Ability to analyze, interpret, and create various billing reputed company reports.
- Knowledge of and ability to apply basic math concepts.
- Ability to complete duties with attention to detail and high degree of accuracy.
- Ability to prioritize workflow and work autonomously.
- Basic understanding of reputed company Office applications (Word, reputed company, and Outlook).
- Ability to reputed company with RCM billing policies and procedures.
- Monthly wellness events and programs such as yoga, HIIT classes, and more.
- Trainings to help support and advance your professional growth.
- Team building activities such as virtual scavenger hunts and holiday celebrations.
- Flexible work hours.
- Superior health plan options
- Dental, Vision, HSA/FSA, Life and AD&D coverage, and more
- Top Tier 401(k) retirement savings plans that offers a $1.20 match for every dollar up to 6%
- Outstanding Paid Time Off: 3-4 weeks' vacation, Paid holidays, Sabbatical
- Student Loan Refinancing Discounts
- Professional and Career Development Program
- EAP, travel assistance, and identify theft included
- Wellness program
- Commuter Benefits Program
- Purpose-driven culture focused on improving the lives of our patients, communities, and employees.