Medical Hospital Billing and AR Specialist

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August 20

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Trajectory Revenue Cycle Services

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Healthcare Insurance • Finance • Compliance

Trajectory Revenue Cycle Services is a company dedicated to providing comprehensive revenue cycle management services to healthcare providers such as ambulatory surgery centers, hospitals, anesthesia providers, and surgical specialists across the nation. By utilizing experienced staff and ensuring accurate and compliant coding, they aim to reduce errors, decrease denials, and improve collections. Their approach includes patient-centric self-pay collections, quality assurance processes, and constant review and improvement using methodologies like Lean and Six Sigma. Trajectory RCS is committed to enhancing cash flow and operational efficiency for their clients in the healthcare sector.

51 - 200 employees

⚕️ Healthcare Insurance

💸 Finance

📋 Compliance

📋 Description

• Billing & Claims Processing: Prepare, review, and submit accurate insurance and patient claims for ASC and OBL cardiology procedures • Verify coding accuracy (ICD-10, CPT, HCPCS, modifiers) for compliance and reimbursement optimization • Ensure proper claim submission through clearinghouses and payer portals • Accounts Receivable Management: Monitor and manage aging reports; follow up on unpaid or underpaid claims • Resolve claim denials and appeals by researching payer guidelines and submitting corrected claims • Post payments, adjustments, and denials in practice management systems accurately • Communicate with insurance companies to expedite claim processing and collections • Patient Account Support: Handle patient billing inquiries professionally and provide accurate account information • Coordinate payment plans and process patient payments as needed • Compliance & Reporting: Ensure compliance with all federal, state, and payer-specific billing regulations • Maintain up-to-date knowledge of ASC and OBL cardiology reimbursement policies • Generate and analyze billing and A/R reports to identify trends and recommend improvements

🎯 Requirements

• 2+ years of medical billing/accounts receivable experience (preferably cardiology, ASC, or OBL) • Strong understanding of CPT/ICD-10 coding, medical terminology, and payer reimbursement guidelines • Experience with electronic health records (EHR), practice management, and clearinghouse systems • Knowledge of Medicare, Medicaid, and commercial insurance billing requirements • Excellent organizational skills with strong attention to detail • Ability to work independently and manage workload remotely • Preferred: Certified Professional Coder (CPC), Certified Professional Biller (CPB), or equivalent certification • Prior cardiology ASC/OBL billing experience • Familiarity with prior authorizations, appeals, and revenue cycle KPIs • Skills & Competencies: Strong written and verbal communication skills • Problem-solving and critical thinking in resolving claim/payment issues • Ability to prioritize tasks and meet deadlines in a remote work setting • Professional, dependable, and confidential handling of sensitive information

🏖️ Benefits

• Major Medical • Employer sponsored Dental • Employer sponsored Vision • Accidental Death and Disability insurance • Short term disability • 4.5% 401K matching • Flexible spending account • Generous paid time off • True opportunity for advancement