About the job
As a Medical Billing Specialist, you will play an essential role in overseeing the entire billing cycle, encompassing Revenue Cycle Management (RCM) and Accounts Receivable (A/R) functions. Your expertise will be vital in ensuring seamless billing operations through claims processing, denial investigations, and comprehensive billing tasks aimed at maximizing revenue for healthcare providers.
Key Responsibilities:
- Manage Complete Revenue Cycle: Oversee every phase of the billing cycle from claim submission to final payment, ensuring accuracy and efficiency at all stages.
- Accounts Receivable Oversight: Monitor and manage outstanding bills, proactively following up on claims and resolving collection matters to enhance revenue flow.
- Claims Denial Analysis: Investigate denied claims, pinpointing errors or necessary adjustments and resubmitting claims with the correct modifications.
- Claims Management: Handle backend operations related to claim resubmission, confirming accuracy and making necessary corrections to avoid reimbursement delays.
- Documentation Compliance: Ensure all billing practices adhere to regulatory standards and compliance requirements, including HIPAA regulations.
Qualifications:
- Demonstrated experience in medical billing with a solid understanding of RCM and A/R processes.
- Familiarity with claim denial management and collections strategies.
- Excellent command of the English language, both written and verbal.
- Proficiency in remote office tools, EHR systems, and various communication platforms.
- Strong customer service orientation and analytical thinking skills.
- Knowledge of HIPAA regulations and the importance of safeguarding patient information.
- Exceptional problem-solving abilities with a capacity to work independently.
- Willingness to work during US time zones (PST, EST, CST).
- High school diploma or equivalent required.
System and Work Setup Requirements:
- Internet: Minimum speed of 25 Mbps or higher, with a reliable backup connection available for outages.
- Processor: Intel Core i5 7th Generation or equivalent.
- Memory: 8 GB RAM.
- Storage: 256 GB SSD or HDD with at least 50% free space.
- Webcam: Minimum 720p resolution.
- Operating System: Windows 10 or later (or equivalent).
- Audio Equipment: Noise-canceling headset or earphones.
- Workspace: A quiet, organized workspace free from distractions to ensure productivity.
Benefits:
- Permanent remote work opportunity.
