Medical Billing & Collections Specialist – Part Time

Job not on LinkedIn

🔥 19 hours ago

🌲 North Carolina – Remote

🌲 North Carolina – Remote

💵 $21 - $32 / hour

⏱ Part Time

🟢 Junior

🟡 Mid-level

📊 Billing Specialist

🚫👨‍🎓 No degree required

👻 Ghost score 0%

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Advocate Aurora Health

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

⚕️ Healthcare Insurance

💰 $10.2M Grant on 2019-08

Healthcare • Healthcare Insurance

Advocate Aurora Health is a leading healthcare organization that operates across various regions including Central Chicagoland, Central Wisconsin, Greater Milwaukee, and more. With a diverse range of career areas such as advanced practice clinicians, behavioral health, nursing, and more, Advocate Aurora Health is committed to helping people live well. The organization offers numerous benefits and opportunities for career advancement, fostering an environment where individuals can thrive and innovate in the healthcare sector. Advocate Aurora Health prioritizes the safety of its candidates and maintains a robust recruitment process to protect sensitive information.

📋 Description

• Review medical records for documentation accuracy and assign correct CPT and ICD-10 codes to claims • Conduct or assign audit reviews of coding and procedure specifications • Perform and oversee primary, secondary, and rebilling processes, including claim edits on internal and external software systems • Stay current on rules and regulations for government payers, including Medicare, Medicaid, and VA • Check clearinghouse transmissions daily and ensure files are successfully transmitted to the intermediary • Work with vendors to resolve workflow-impeding problems or trends • Follow up on billed patient accounts to collect owed balances • Post payments via cash, credit cards, EFT, and third-party vendors • Review and adjudicate EOBs/RAs to determine whether the Surgery Center was paid correctly • Handle denials and appeals to obtain claim payment • Remain actively involved in KPIs associated with the Surgery Center's financial performance

🎯 Requirements

• High school diploma required • 2-5 years' experience in a medical environment required • Strong medical terminology knowledge, preferably in the surgical realm • Thorough working knowledge of CPT and ICD-10 codes • Ability to process outgoing claims, write billing edits, transmit transaction files, and process payments • Strong typing skills • Significant computer experience, including email, copier, and Microsoft Office • EMR experience required, including both clerical and clinical functions • Knowledge of billing rules and regulations through various governmental programs required • Knowledge of commercial claim submission • Firm grasp of all HIPAA guidelines • Ability to lift, carry, or push/pull up to 20 pounds and occasionally over 20 pounds • Standing and walking 30% of the time and sitting 70% of the time • Eye/hand coordination, finger dexterity, color perception, visual and depth perception, sound perception and discrimination, and verbal speech ability • Occasional bending, kneeling, climbing, twisting, and reaching at or above and below shoulder level • Routine balancing for normal office environment duties

🏖️ Benefits

• Benefits eligible • Paid Time Off programs • Medical, dental, vision, life, and Short- and Long-Term Disability benefits • Flexible Spending Accounts for eligible health care and dependent care expenses • Adoption assistance and paid parental leave • Defined contribution retirement plans with employer match • Other financial wellness programs • Educational Assistance Program • Premium pay such as shift and on-call pay based on teammate's job • Incentive pay for select positions • Opportunity for annual increases based on performance