Job Description

Our Billing Co. is seeking a Billing Specialist to join our team! The primary purpose of the  Billing Specialist is to prepare medical claims for timely submission to payers.

Essential Functions:

• Review provider claims to ensure accurate representation of services rendered.
• Prepare claims for reimbursement to all applicable entities.
• Assess claims to ensure adherence with payer guidelines.
• Maintain an understanding of medical insurance programs and coverage offered under various plans.
• Research and work collaboratively with clinic staff to capture all billing activities (e-bill management). This may require access to additional information systems (EMR or Data Warehouse).
• Contact patients and/or provider offices directly to secure current and accurate insurance information and provide guidance to patients on policy terms.
• Respond to RCM team and vendors promptly to address information needed for claim resubmission and denial resolution.
• Assist in the development of protocols and workflows to ensure correct billing and maximum reimbursement.
• Understanding of payer websites and content for eligibility purposes. Understanding navigation of Practice Management integrated eligibility module.
• Deliver exemplary customer service to provide a positive experience across the organization.
• Perform other duties assigned by management.

Minimum/Preferred Qualifications:

• High School Diploma or GED required, Certificate from college or technical school preferred.
• 1+ years’ experience in billing or medical office operation or billing required.
• Basic knowledge of ICD-10 and CPT Codes required, Understanding of Revenue Cycle Management preferred.
• Ability to multi-task with accuracy required, strong organizational skills.
• Strong customer service and communication skills with ability to utilize computer programs.

Fully Remote Position.

Location: Buffalo/Rochester/Syracuse

Our Billing Co. offers a competitive benefits package.

Pay range: $19.00 - $21.10

Individual annual salaries/hourly rates will be set within job's compensation range, and will be determined by considering factors including, but not limited to market data, education, experience, qualifications, and experience, qualifications, and expertise of the individual and internal equity considerations.

This position requires constant sitting in an office environment. Employees may be asked to occasionally perform other movements or physical tasks. Workplace accommodations may be available for employees in accordance with the Americans with Disabilities Act.

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