Certifed Billing Specialist

This is a Monday to Friday 8:00am to 4:30pm position. No weekend work shift. Closed on all major holidays. There are no evening or overnight work shifts.

• All New Hires are required to be COVID 19 vaccinated

The EMR that the practice uses is Athena.

Free parking and easy metro access.

$19-$24 per hour

• Performs account receivables follow-up and resolution functions of insurance and patient receivables in a manner that meets or exceeds key performance indicator (KPI) criteria.
• Resolves outstanding accounts within a maximum of two (2) touches.
• Demonstrates knowledge and understanding of standard bills forms, electronic claims submission with filling requirements and claims processing and query systems.
• Functions as a subject matter expert in insurance collections and escalates issues as appropriate to secure payment on outstanding balances.
• Supports the patient registration process by verifying insurance benefits and securing prior authorizations/referrals.
• Identifies billing problems and payer trends from EOBs and communicates effectively to leadership team to correct the errors/trends in a timely manner.
• Prioritizes pending claims from insurance and patient aging baskets and performs regular and consistent A/R follow-up.
• Updates the practice management system to detail actions taken on accounts.
• Functions effectively within a team and contributes constructively to produce results in a cooperative effort.
• Performs administrative tasks such as composing and responding to e-mails, answering and making phone calls, etc.
• Provides superior customer service throughout all interactions with patients, payers, staff, and all other parties.
• Performs other duties as assigned.

Well-qualified candidates will have three to five years of previous medical billing experience.

Additional requirements and skills include:

• Knowledge in liaising with insurance companies to follow-up on outstanding A/R
• Three plus (3+) years of experience in medical billing with a billing company or healthcare facility preferred.
• High School graduate or equivalent, additional course work or experience in the medical field.
• Ability to analyze payer claim responses (EOB and ERA) and take necessary action
• Experience drafting and submitting appeals to payers
• Comprehensive knowledge of industry-standard revenue cycle management processes
• Positive, professional and energetic attitude which inspires other teammates
• Strong desire to provide exceptional customer service
• Excellent communication skills, verbal and written
• Technology proficiency is critical, including previous EMR experience and knowledge of Microsoft software products such as Outlook, Word, PowerPoint and Excel. Prior experience with Athena preferred.
• Strong organizational skills
• Ability to demonstrate a strong knowledge of customer service principles and practices
• Ability to maintain confidentiality
• Ability to work under high pressure with strict deadlines and in a fast-paced environment

• Paid Time Off (PTO)
• Paid Holidays
• Health Insurance
• Dental Insurance
• Vision Insurance
• Life Insurance
• Short term disability benefits
• 401k
• Free onsite parking

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or national origin, or other classifications protected by state, local or federal law.