Experienced Healthcare Billing Specialist - Revenue Cycle Management & Quality Assurance Expert
Transform Your Career with a Leading Healthcare Billing Services Provider
Join our dynamic team as a Healthcare Billing Specialist and become an integral part of our mission to deliver top-notch billing services to medical practices across San Diego County. As a key member of our remote team, you'll leverage your expertise in medical billing, quality assurance, and revenue cycle management to drive success and grow professionally in a collaborative environment.
About Our Company
We're a pioneering healthcare billing services provider dedicated to innovation, continuous improvement, and excellence. Our team is passionate about delivering exceptional service to our clients, and we're seeking a talented Healthcare Billing Specialist to help us achieve our goals. As a remote team member, you'll enjoy the flexibility and autonomy to work from anywhere while being part of a close-knit team that's committed to making a difference in the healthcare industry.
Key Responsibilities
Billing and Claims:
Prepare, review, and transmit clean claims to third-party payers (both electronically and by paper).
Request prior authorizations for services and ensure compliance with insurance guidelines.
Address rejected claims efficiently and effectively, and maintain a strong relationship with our clearinghouse.
Check eligibility and benefits utilizing third-party sources, and research denied claims to execute the appeals process.
Manage the monthly statement process, ensure accuracy of payment, and post payments to respective accounts.
Demonstrate expertise in CPT and ICD-10 coding, and follow up on unpaid claims within the standard billing cycle timeframe.
Customer Service:
Provide excellent customer service through patient education, listening, and effective communication.
Compliance and Quality Assurance:
Adhere to HIPAA guidelines, policies, and procedures, and demonstrate an understanding of objectives and key results related to medical billing.
Prepare key performance indicators reports for the Billing Department, and conduct quality assurance audits to ensure high standards.
Develop processes to improve efficiencies and quality within the Billing Department, and contribute to the team's continuous improvement efforts.
Essential Qualifications
To succeed in this role, you'll need:
A minimum of 5 years of experience in a medical office setting, with at least 3 years of experience in healthcare billing and quality assurance.
2+ years of experience in revenue cycle management, with a proven track record of success.
A strong understanding of medical billing processes, insurance guidelines, and regulatory requirements.
Expertise in CPT and ICD-10 coding, with the ability to stay up-to-date with changing regulations and guidelines.
Excellent analytical, problem-solving, and communication skills, with the ability to work effectively in a team environment.
Preferred Qualifications
While not essential, the following qualifications are highly desirable:
A Bachelor's degree in a related field, such as healthcare administration or business.
Certifications in medical billing, such as CPC or CMM.
Experience with electronic health records (EHRs) and practice management systems (PMS).
Skills and Competencies
To excel in this role, you'll need:
Strong analytical and problem-solving skills, with the ability to analyze data and identify trends.
Excellent communication and interpersonal skills, with the ability to work effectively with patients, providers, and payers.
A high level of attention to detail, with the ability to maintain accuracy and quality in a fast-paced environment.
Proficiency in Microsoft Office and other software applications, with the ability to learn new systems and technologies.
A commitment to ongoing learning and professional development, with a passion for staying up-to-date with industry trends and best practices.
Career Growth Opportunities and Learning Benefits
As a member of our team, you'll have access to:
Ongoing training and professional development opportunities, designed to help you stay current with industry trends and best practices.
A collaborative and supportive work environment, where you'll be encouraged to share your ideas and expertise.
Opportunities for career advancement, as we continue to grow and expand our services.
Work Environment and Company Culture
We're a remote team that values flexibility, autonomy, and work-life balance. As a Healthcare Billing Specialist, you'll enjoy:
The ability to work from anywhere, at a time that suits you.
A collaborative and supportive team environment, where you'll be connected with colleagues and leaders through regular virtual meetings and communication channels.
A culture that prioritizes ongoing learning and professional development, with opportunities to grow and advance in your career.
Compensation and Benefits
We offer a competitive salary range of $20-$28 per hour, depending on experience, as well as a comprehensive benefits package that includes:
401(k) plan
Dental, health, and vision insurance
Life insurance
Schedule and Work Arrangement
This is a full-time role, with expected hours of 40 per week, Monday to Friday. We're a remote team, so you'll have the flexibility to work from anywhere.
Join Our Team!
If you're a motivated and experienced Healthcare Billing Specialist looking for a new challenge, we want to hear from you! Don't worry if you don't meet every single requirement - we value a great attitude and a willingness to learn above all. Submit your application today and take the first step towards a rewarding career with our team.
Apply Now
Join our dynamic team as a Healthcare Billing Specialist and become an integral part of our mission to deliver top-notch billing services to medical practices across San Diego County. As a key member of our remote team, you'll leverage your expertise in medical billing, quality assurance, and revenue cycle management to drive success and grow professionally in a collaborative environment.
About Our Company
We're a pioneering healthcare billing services provider dedicated to innovation, continuous improvement, and excellence. Our team is passionate about delivering exceptional service to our clients, and we're seeking a talented Healthcare Billing Specialist to help us achieve our goals. As a remote team member, you'll enjoy the flexibility and autonomy to work from anywhere while being part of a close-knit team that's committed to making a difference in the healthcare industry.
Key Responsibilities
Billing and Claims:
Prepare, review, and transmit clean claims to third-party payers (both electronically and by paper).
Request prior authorizations for services and ensure compliance with insurance guidelines.
Address rejected claims efficiently and effectively, and maintain a strong relationship with our clearinghouse.
Check eligibility and benefits utilizing third-party sources, and research denied claims to execute the appeals process.
Manage the monthly statement process, ensure accuracy of payment, and post payments to respective accounts.
Demonstrate expertise in CPT and ICD-10 coding, and follow up on unpaid claims within the standard billing cycle timeframe.
Customer Service:
Provide excellent customer service through patient education, listening, and effective communication.
Compliance and Quality Assurance:
Adhere to HIPAA guidelines, policies, and procedures, and demonstrate an understanding of objectives and key results related to medical billing.
Prepare key performance indicators reports for the Billing Department, and conduct quality assurance audits to ensure high standards.
Develop processes to improve efficiencies and quality within the Billing Department, and contribute to the team's continuous improvement efforts.
Essential Qualifications
To succeed in this role, you'll need:
A minimum of 5 years of experience in a medical office setting, with at least 3 years of experience in healthcare billing and quality assurance.
2+ years of experience in revenue cycle management, with a proven track record of success.
A strong understanding of medical billing processes, insurance guidelines, and regulatory requirements.
Expertise in CPT and ICD-10 coding, with the ability to stay up-to-date with changing regulations and guidelines.
Excellent analytical, problem-solving, and communication skills, with the ability to work effectively in a team environment.
Preferred Qualifications
While not essential, the following qualifications are highly desirable:
A Bachelor's degree in a related field, such as healthcare administration or business.
Certifications in medical billing, such as CPC or CMM.
Experience with electronic health records (EHRs) and practice management systems (PMS).
Skills and Competencies
To excel in this role, you'll need:
Strong analytical and problem-solving skills, with the ability to analyze data and identify trends.
Excellent communication and interpersonal skills, with the ability to work effectively with patients, providers, and payers.
A high level of attention to detail, with the ability to maintain accuracy and quality in a fast-paced environment.
Proficiency in Microsoft Office and other software applications, with the ability to learn new systems and technologies.
A commitment to ongoing learning and professional development, with a passion for staying up-to-date with industry trends and best practices.
Career Growth Opportunities and Learning Benefits
As a member of our team, you'll have access to:
Ongoing training and professional development opportunities, designed to help you stay current with industry trends and best practices.
A collaborative and supportive work environment, where you'll be encouraged to share your ideas and expertise.
Opportunities for career advancement, as we continue to grow and expand our services.
Work Environment and Company Culture
We're a remote team that values flexibility, autonomy, and work-life balance. As a Healthcare Billing Specialist, you'll enjoy:
The ability to work from anywhere, at a time that suits you.
A collaborative and supportive team environment, where you'll be connected with colleagues and leaders through regular virtual meetings and communication channels.
A culture that prioritizes ongoing learning and professional development, with opportunities to grow and advance in your career.
Compensation and Benefits
We offer a competitive salary range of $20-$28 per hour, depending on experience, as well as a comprehensive benefits package that includes:
401(k) plan
Dental, health, and vision insurance
Life insurance
Schedule and Work Arrangement
This is a full-time role, with expected hours of 40 per week, Monday to Friday. We're a remote team, so you'll have the flexibility to work from anywhere.
Join Our Team!
If you're a motivated and experienced Healthcare Billing Specialist looking for a new challenge, we want to hear from you! Don't worry if you don't meet every single requirement - we value a great attitude and a willingness to learn above all. Submit your application today and take the first step towards a rewarding career with our team.
Apply Now