Billing Specialist

Job not on LinkedIn

🔥 9 minutes ago

🏄 California, Colorado, +7 more states – Remote

🏄 California – Remote ⛰️ Colorado – Remote 🌽 Illinois – Remote 🏖️ New Jersey – Remote 🗽 New York – Remote 🌲 Oregon – Remote 🦀 Maryland – Remote 🍂 Massachusetts – Remote ☕ Washington – Remote

💵 $60k - $65k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

📊 Billing Specialist

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Hey Jane

WebsiteLinkedInAll Job Openings

1 - 10 employees

Founded 2021

⚕️ Healthcare Insurance

💰 $6.1M Venture Round on 2022-10

Healthcare Insurance

Hey Jane is a virtual healthcare service provider specializing in reproductive and sexual health care. The company offers a range of services including medication abortion, emergency contraception, and treatments for UTIs, yeast infections, bacterial vaginosis, and herpes, all accessible through a virtual platform. Hey Jane provides discreet, judgment-free care with fast and affordable access to medication and expert support. They operate across several states in the U. S. , allowing patients to consult with providers online and get prescriptions delivered directly to their pharmacy or via mail. Their mission is to make reproductive health care more accessible and compassionate, ensuring privacy and support throughout the treatment process.

📋 Description

• Ensure a smooth, efficient, and timely claim submission process with minimal denials, including identifying gaps in claims • Follow up on unpaid claims, denials, and appeals to ensure maximum reimbursement • Investigate and resolve billing discrepancies or coding issues • Collaborate with internal teams, including clinicians, to provide charting requirements and necessary documentation for claims submission, training team members on billing processes, and creating workflows for billing operations • Provide support and guidance to patients regarding their insurance coverage, financial assistance, and billing inquiries • Manage abortion fund invoicing and reimbursements • Maintain accurate and organized billing records and documentation • Generate and analyze reports to monitor billing performance and identify areas for improvement • Support new payor partnerships, working collaboratively with internal and external stakeholders to own billing and coding workflows as we grow • Maintain knowledge of current billing and coding regulations and updates • Stay up-to-date with changes in insurance policies, fee schedules, and reimbursement rates • Assist with other billing-related tasks as needed

🎯 Requirements

• 2+ years experience as a Billing Specialist in a healthcare setting (preferably in a telehealth setting) • Deep expertise in Medicaid billing guidelines, including familiarity with state-specific reimbursement rules and eligibility verification • Strong proficiency in ICD-10, CPT, and HCPCS coding, particularly as they relate to abortion services and sexual and reproductive health • Proven experience managing the full claims lifecycle, including submission, denial management, and appeals • Hands-on experience with Electronic Health Records (EHR) and Revenue Cycle Management (RCM) systems • Solid understanding of HIPAA regulations and a strict commitment to maintaining patient data privacy • Strong attention to detail and accuracy • Ability to effectively communicate with patients, insurance companies, and internal stakeholders • Proficient in using Excel or Google Sheets • Ability to work independently in a fast-paced environment • Strong organizational and time management skills • Passion for advancing equitable healthcare, with a deep-rooted ability to empathize with Hey Jane patients

🏖️ Benefits

• Unlimited vacation • Health, dental, and vision insurance with FSA