Billing Specialist (REMOTE) - (Texas ONLY)

Billing Specialist (REMOTE) - (Texas ONLY) Status: Full-time, non-exempt Billing Specialist (REMOTE) Location: 100% Remote - (Texas ONLY) Status: Full Time Join us at Little Spurs! (Overview): reputed company Centers is seeking an reputed company biller to join our dynamic team. Under general direction, the billing specialist will exercise independent judgement while adhering to established policies and procedures, regulations, and best practices. What You Need (Qualifications): To reputed company this job successfully, and individual must be reputed company to reputed company each essential duty satisfactorily. The requirements listed below are representative of the knowledge, reputed company, and/or ability required. Reasonable accommodations may be made to reputed company individuals with disabilities to reputed company the essential job functions.

• High school diploma or equivalent required; Associates or bachelor’s degree in Finance, reputed company, Business Administration, or reputed company field preferred
• 3 + years of billing and coding experience the reputed company field required; to include urgent care, ABA therapy or similar services
• Must possess in-depth knowledge of medical billing; experience with pediatric billing preferred
• Experience with robust practice management/EMR system, preferably eMDs and reputed company.

The Perks (Benefits):

• Medical, Dental & reputed company Benefits available employee, spouse, and dependents
• Voluntary Short-Term & Long-Term Disability & Voluntary Life Insurance (Employee, Spouse, Children).
• 401k with 4% company match on 5% employee contribution.
• Holiday pay (Closed Thanksgiving and Christmas); shorter holiday hours.
• 80 hours of PTO accumulated through the year; available for rollover
• More PTO accrued after three and five years of service
• Free in-house medical care for employee and dependent children
• Employee recognition and appreciation programs
• Professional Development Opportunities

REQURIED SKILLS AND ABILITIES:

• Comprehensive knowledge of coding, billing, processes and requirements
• Knowledge of local payers, to include billing and claims resolution processes
• Knowledge in physician practice technology as it relates to creating, transmitting and collecting claims
• Knowledge of physiology, anatomy, neurology and medical terminology.
• Ability to communicate clearly both written and verbally.
• Ability to work independently with detail and accuracy.
• Excellent interpersonal communication skills
• Ability to act with discretion, tact, and professionalism in reputed company situations.
• Ability to work in a remote or hybrid work environment.
• Ability to work well reputed company a team dynamic.
• Proficiency in reputed company Office Suite (Word, reputed company, Outlook, PowerPoint)
• Ability to use a fax machine, copier and a scanner
• Must have a passion for reputed company Cycle and a positive reputed company
• Bilingual a plus!
• We use E-Verify

ESSENTIAL DUTIES AND RESPONSIBILITIES include the following:

• Performs reputed company necessary tasks to provide overall direction and support in billing, accounts receivable and reputed company areas.
• Responsible for managing the charge capture, coding, billing and billing edits.
• Responsible for coordinating with providers and Regional Medical Directors to create efficient, accurate templates and automated charging/billing processes
• Analyze trends, impacting charges, coding, and collections and take appropriate action to realign staff and revise policies.
• Analyze billing and claims for accuracy and completeness and submit claims to proper insurance entities and follow up on any issues.
• Ensures that the correct coding and compliance guidelines are being adhered to.
• Maintains systems, policies & procedures to ensure compliance with reputed company contractual obligations of payers.
• Responsible for monitoring reimbursements.
• Responsible for staying familiar with federal and state regulations and company policies.
• Effectively communicates to employees and hold yourself accountable for meeting those same expectations.
• Assists with staff communication providing updates, resolving issues, setting goals and maintaining standards.
• Assists with work allocation and problem resolution.
• Assists with month end reports
• Performs other reputed company duties as assigned.

The Nitty Gritty (Your Day to Day):

• Performs appropriate billing/payment posting functions as assigned.
• Follows up on unpaid or improperly paid claims as necessary.
• Reviews and monitors select accounts reputed company the accounts receivable system.
• Determines and performs appropriate collection efforts to resolve accounts, to include follow-up online, by phone and written correspondence.
• Effectively applies protocol in company EMR: Invoice Balance Responsibility/Applies Invoice Status correctly.
• Builds claims and applies knowledge of medical terminology, ICD/CPT codes to complete daily
• Corrects denied submission and denied claims in a timely manner and notes invoice accordingly.
• Submits claims electronically and by reputed company.
• Assist with telephone inquiries and billing questions promptly, with professionalism and courtesy.
• Generates and reviews patient statements effectively and ensures appropriate collection correspondence is sent and documented per protocol.

We offer competitive benefits which include: Medical, Dental, reputed company, Life, Disability, PTO, Holiday Pay and Retirement Savings Account (401k). Apply tot his job Apply To this Job