Responsible for maintaining Revenue Cycle Services, and other departments with resolution of billing issues and/or denials requiring clinical expertise.
Responsible for researching, working, and resolving claim denials and rejections in your assigned client.
Assume ownership over your assigned clients for all aspects of the billing cycle, including Charges, Payments, and AR metrics and performance.
Keep on task to meet all required deadlines and timeframes for customer and company needs.
Assist in the development of processes and procedures for each assigned account.
Monitors and analyzes current industry trends and issues for potential organizational impact.
Communicate regularly with your assigned clients to alert them of trends identified and recommended resolutions.
Collaborate with all departments to ensure billing accuracy and efficiency.
Deliver timely required reports to the management team; initiates and communicates the resolution of issues, such as payer denial trends, collections accounts, inaccurate or incorrect charges.
Ensure compliance with all relevant regulations, standards, and laws.
Assist with any other projects as assigned by the Operations leadership.

Education: High-School Graduate or Equivalent
Experience: 1-2 Years Medical Accounts Receivable Experience
ICD10 and CPT knowledge
Computer Skills: Excel, Word, Outlook, Medical Billing Software Systems
Knowledge of full cycle revenue model
Thorough knowledge of ICD and CPT application, correct practices, and tools utilized within the healthcare industry, as well as audits
Ability to interpret documents, medical records, and other documentation related to medical claims
Strong technical and computer skills (PM/EHR Software, Excel, Outlook, MS Office, Web)
Ability to identify and resolve trends within your workflow
Athena experience preferred
Behavioral Health experience preferred
EPIC experience preferred

Comprehensive Benefits: Multiple levels of medical, dental and vision coverage — with medical plans starting at just $10 per pay period — tailored benefit options for part-time and PRN employees, and more.
Financial Protection & PTO: Life, accident, critical illness, hospital indemnity insurance, short
and long-term disability, paid family leave and paid time off.
Financial & Career Growth: Higher education and certification tuition assistance, loan assistance and 401(k) retirement package and company match.
Employee Well-being: Mental, physical, and financial wellness programs (free gym memberships, virtual care appointments, mental health services and discount programs).
Professional Development: Ongoing learning and career advancement opportunities.

Billing Specialist

Key skills