Jul 01, 2024

Billing Specialist

  • RCO Management
  • Remote
  • $20.00 hourly
Full Time (CPC) Certified Professional Coder (CPB) Certified Professional Biller (CCS) Certified Coding Specialist (RHIT) Registered Health Information Technician

Job Description

Job Title: Revenue Cycle Billing Specialist (level I-III)

Location: Remote

Department: Finance/Revenue Cycle Management

Reports To: Revenue Cycle Manager

Job Type: Full-Time

About Us: Renal Care 360° is a leading Healthcare organization dedicated to providing exceptional service and care to our clients. We are committed to innovation, excellence, and the highest standards of integrity. We are currently seeking a dedicated and detail-oriented Revenue Cycle Billing Specialist to join our dynamic team.

Job Summary: The Revenue Cycle Billing Specialist is responsible for managing and optimizing all phases of the revenue cycle to ensure accurate and timely billing and collection processes. This role requires a keen attention to detail, strong analytical skills, and the ability to work collaboratively with various departments to streamline revenue operations and maximize financial performance.

Key Responsibilities:

1. Billing and Coding:

·       Prepare and submit accurate claims to insurance companies and patients.

·       Ensure proper coding of services rendered using ICD-10, CPT, and HCPCS codes.

·       Verify completeness and accuracy of billing information before submission.

2. Claims Management:

·       Monitor and follow up on unpaid or denied claims.

·       Resolve billing discrepancies and disputes with insurance companies.

·       Conduct periodic audits of claims to identify and rectify errors.

3. Payment Posting:

·       Post payments from insurance companies and patients accurately.

·       Reconcile posted payments with bank deposits and billing records.

·       Identify and process refunds or adjustments as needed.

4. Patient Account Management:

·       Respond to patient inquiries regarding billing and insurance coverage.

·       Assist patients with setting up payment plans and resolving account issues.

·       Maintain up-to-date patient account information.

5. Compliance and Reporting:

·       Stay current with changes in billing regulations, insurance guidelines, and coding standards.

·       Ensure compliance with HIPAA and other regulatory requirements.

·       Generate and analyze financial and operational reports to identify trends and areas for improvement.

6. Collaboration:

·       Work closely with the medical staff, administrative teams, and insurance companies to resolve billing issues.

·       Provide training and support to staff on billing processes and procedures.

·       Participate in regular team meetings to discuss workflow improvements and updates.

Qualifications:

· Education:

·       Associate’s or Bachelor’s degree in Healthcare Administration, Finance, Accounting, or related field preferred.

·       Certified Professional Coder (CPC) or Certified Medical Reimbursement Specialist (CMRS) certification is a plus.

· Experience:

·       Minimum of 5 years of experience in medical billing, coding, and revenue cycle management.

·       Experience with billing software and electronic health records (EHR) systems.

· Skills and Abilities:

·       Strong understanding of medical billing and coding principles.

·       Excellent analytical and problem-solving skills.

·       Proficiency in Microsoft Office Suite (Excel, Word, Outlook).

·       Exceptional communication and customer service skills.

·       Ability to work independently and as part of a team.

·       High degree of accuracy and attention to detail.

Working Conditions:

·        Office environment with standard office hours.

·        Occasional overtime may be required to meet deadlines.

·        Remote opportunity.

Benefits:

· Competitive salary.

· Comprehensive health, dental, and vision insurance.

· 401(k) with company match.

· Paid time off and holidays.

· Continuing education opportunities.

Application Process: Interested candidates are invited to submit a resume and cover letter outlining their qualifications and experience to [contact email/address].

Renal Care 360° is an equal opportunity employer and encourages applications from all qualified individuals. We thank all applicants for their interest; however, only those selected for an interview will be contacted.

 

 

Required Experience Level

Intermediate Level

Minimum Education

Associate's Degree

Minimum Experience Required

4-6 years