About the role

  • Healthcare A/R Billing Specialist supporting physicians and care center staff with billing questions. Conducting account analysis, creating billing rules, and preparing reports.

Responsibilities

  • Work collaboratively with peers, offshore vendors, and senior management to ensure business needs are met.
  • Provide support to physicians and care center staff with RCM questions or escalations.
  • Conduct account research and analysis.
  • Understand Payer nuances and will be able to help in creating payer-specific billing rules.
  • Identify and execute necessary process initiatives related to Billing, adjustments, etc.
  • Prepare and maintain various reports.
  • Interact with internal and external customers to resolve outstanding issues.
  • Maintain confidentiality of all information; adhere to all HIPAA guidelines/regulations.
  • Additional duties to be assigned from time to time.

Requirements

  • Minimum 3 years of experience with Athena software - Preferred
  • Minimum 3 years of progressive professional experience in healthcare revenue cycle management.
  • Proficient in government and commercial insurance billing and experience with working on various Clearing houses (Waystar, Trizetto, etc)
  • Proficient in the use of Excel, Word, and PowerPoint or equivalent Google software
  • Knowledge and understanding of ICD-10, CPT, and HCPCS codes and payer-specific coding guidelines.
  • Knowledge and understanding of medical terminology and procedures.
  • Knowledge of coding, medical records, remittance codes, and reimbursement policies
  • High School diploma or general equivalency.
  • Good verbal and written communication skills.
  • Ability and willingness to work flexible hours to meet staffing needs.

Job title

Healthcare A/R Billing Specialist

Job type

Experience level

Mid levelSenior

Salary

$23 per hour

Degree requirement

High School Diploma

Location requirements

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