Billing Specialist

🔥 0 minutes ago

🏈 Alabama, Florida, +6 more states – Remote

🏈 Alabama – Remote 🐊 Florida – Remote 🏖️ New Jersey – Remote 🦀 Maryland – Remote 🔔 Pennsylvania – Remote 🌴 South Carolina – Remote 🤠 Texas – Remote ⚔️ Virginia – Remote

💵 $20 - $24 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

📊 Billing Specialist

👻 Ghost score 0%

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Clearway Pain Solutions

WebsiteLinkedInAll Job Openings

201 - 500 employees

🏥 Healthcare

🧘 Wellness

💊 Pharmaceuticals

Healthcare • Wellness • Pharmaceuticals

Clearway Pain Solutions is a healthcare organization dedicated to providing comprehensive pain management services. With locations across several states, including Texas, the company focuses on relieving chronic pain, restoring physical function, and enhancing the quality of life for its patients. Clearway employs a multi-disciplinary approach to treatment, offering interventional pain management, physical therapy, and medication management, ensuring that patients receive tailored care that meets their unique needs.

📋 Description

• Support the complete and timely collection of revenue for assigned groups • Accurately code and enter patient and charge information into the billing system • Follow up on outstanding claims and/or charges • Review and resolve payer denials, including appeals, coding corrections, medical necessity rules, and related functions • Analyze and resolve billing issues, keeping accounts receivable to no more than 10% over 60 days • Process daily correspondence and claim status; handle denials, appeals, and re-bills • Answer billing questions and inquiries from patients and internal staff • Update patient files with address and contact information changes as needed • Review policy changes and inform the supervisor and charge entry specialist • Navigate insurance companies' proprietary websites to find policies and research payments • Keep the supervisor apprised of accounts receivable matters • Respond to billing company requests in a timely fashion • Research denials and submit correct claims and medical documentation • Review and manage claims in work dashboard hold buckets for resolution • Create, maintain, and update reports as directed • Maintain confidentiality and comply with HIPAA rules and regulations • Participate in and complete required trainings and in-services • Perform other duties as assigned

🎯 Requirements

• High School Diploma, or equivalent WITH a minimum of three (3) years related experience; OR an equivalent combination of education and/or experience • Must live in one of the states where the company currently operates: MD, DE, VA, NJ, PA, FL, AL, GA, SC, and TX • Knowledge of Internet and Microsoft Office software (MS Word, MS Excel, MS PowerPoint, MS Outlook) • Excellent written and oral communication skills, including exceptional customer service • Ability to establish and maintain effective working relationships with doctors, clinical staff, co-workers, and the public • Ability to work individually and within a team • Ability to follow verbal and written instructions • Ability to work a flexible schedule • Ability to respond with patience and understanding during stressful conditions related to patient health and emergent situations • Ability to multi-task and prioritize • Extreme attention to detail • Strong organization skills • Problem-solving and reasoning abilities • Ability to meet predefined quality standards • Professional attitude and appearance • Working knowledge of CPT and ICD-10 coding rules • Solid foundation of insurance knowledge and guidelines for third-party payers • Working knowledge of the healthcare field and medical specialty, as well as medical terminology • Strong desire to provide excellent customer service • Compliance with applicable organizational rules and regulations • High ethical and professional standards of conduct • Desire to continuously improve professional performance • Reliable transportation • Preferred: Two (2) years' experience working with an Electronic Medical Record (EMR) • Preferred: Medical Billing Certification

🏖️ Benefits

• PTO: Up to 96 hours in first year (pro-rated based on start date) • 7 paid holidays: New Year's Day, Memorial Day, Independence Day, Labor Day, Thanksgiving, Day After Thanksgiving, Christmas Day • 401(k) with employer match • Medical insurance (single and family) • Dental insurance (single and family) • Vision insurance (single and family) • Short-Term Disability • Long-Term Disability • Basic Life/AD&D • Employee Assistance Program • Voluntary Life insurance • Accident insurance • Critical Illness insurance • Hospital Indemnity insurance • Eligible for overtime pay in accordance with applicable law; overtime is not guaranteed