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