Billing Specialist managing financial tasks for healthcare delivery service. Ensuring timely resolution of billing issues and compliance with healthcare regulations in a hybrid role.
Responsibilities
Create billing reports of assigned agencies
Submit accounts receivable claims and/or invoices for weekly/monthly billing of assigned agencies
Reconciliation of assigned state or local agencies
Research and resubmit of billings to assigned agencies
Review quality assurance of all referrals or updated clients from assigned state or local agencies
Make outbound & inbound calls, emails to assigned state or local agencies with the purpose of securing correct information regarding new referrals, updated clients, and billings
Responsible for executing complex billing tasks, mentoring junior staff, and leading cross-functional initiatives
Reduce payment agency backlog
Perform in-depth audits of project data to identify and resolve billing discrepancies
Demonstrate successful performance through accuracy, timeliness, and customer satisfaction metrics
Utilize advanced Excel functions (e.g., VLOOKUP) and reporting tools in CRM and SharePoint
Manage complex billing scenarios including denials, rejections, and aging accounts
Collaborate with Posting teams to resolve discrepancies and support month-end close
Prepare and submit electronic claims, paper claims, and invoices (CMS-1500, UBs, invoices, and payer portals, etc.)
Resolve claim rejections timely and resolve claim denials through research, appeals, claim corrections/resubmission, and follow-up with health plans
Ensure accurate and compliant billing, following specific regulations of multi-state Medicaid and MCO's, Medicare Advantage, and Older Americans Act programs
Responsible for ensuring aged outstanding balances of assigned payers is kept within department standards
Participate in process improvement initiatives. Collaborate across teams to resolve issues, claims denials, and aging
Other tasks as assigned, including but not limited to, assisting with projects that impact collections or write offs
Requirements
High School Diploma or GED
2+ years of work-related experience in healthcare related field, ie, healthcare billing institutional and professional claims, patient registration, and/or patient access
Intermediate level Excel skills
Strong oral and written communication skills
Ability to multi-task, set priorities, and pays close attention to detail
Strong ability to work with team members across multiple departments
Ability to work unsupervised with strong critical thinking and problem-solving skills
Experience with Waystar, CRM, D365, and/or electronic health record platforms
Must have a wired internet connection using an ethernet port. Broadband internet wired to the home is required - Cable Modem/service or Fiber Optic. No Satellite, 4/5G, or DSL circuits
Must have a quiet workspace that is free from distraction
Benefits
PTO and benefits available after 30 days of employment
Hybrid position offering the opportunity to work 3 days in the office and 2 days remotely
Bilingual Billing Analyst supporting billing processes at McCarthy Tétrault, a major Canadian law firm. Requires bilingual communication and experience in billing within professional services.
Home Health and Hospice Medical Biller responsible for billing and collections of Medicare and Medicaid claims. Ensuring accurate and timely processing for high quality patient care.
Billing Associate I processing customer payments at Frontline Insurance. Providing robust customer service and handling invoicing issues across multiple platforms.
Billing Coordinator managing end - to - end billing process for Program clients in the aviation industry. Involves collaboration with Finance and Operations teams to ensure accuracy and compliance.
Billing Team Lead overseeing a team of Billing Representatives at Waste Management. Ensure accurate and timely billing while collaborating with various managers and providing excellent customer service.
Billing Coordinator responsible for day to day billing needs and client relations at Stagwell. Collaborating with Finance and Account Management to ensure accurate invoicing and records management.
Billing Coordinator ensuring accurate billing and supporting finance operations in a dynamic workplace. Join Fora to contribute to a collaborative finance team in London.
Billing Coordinator managing client billing processes in a hybrid role. Working with financial operations and collaborating with stakeholders to ensure accuracy in invoice processing.
Billing Specialist managing healthcare billing and claims for Labcorp. Responsible for processing claims, denial management, and collections with a focus on accuracy and compliance.