Billing Specialist

🔥 12 hours 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

💵 $25 - $29 / 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 complete and timely collection of revenue for assigned groups • Accurately code and enter patient and charge information into the billing system • Track high-dollar claims from charge entry through payment • Resolve complex carrier and payer issues • Follow up on outstanding complex claims and charges • Review and resolve payer denials, including appeals, coding corrections, and medical necessity issues • Assist auditors in reviewing notes for medical necessity • Work with authorization department to resolve authorization issues for complex procedures • Run and maintain tracking logs for complex high-dollar procedures • Report tracking results to billing department management • Contact Provider Service Representatives to resolve repetitive payment issues • Serve as a resource for Billing Staff on complex issues • Analyze and resolve billing issues while keeping accounts receivable to no more than 10% over 60 days • Process daily correspondence, claim status inquiries, denials, appeals, and re-bills • Answer billing questions from patients and internal staff • Update patient files with address and contact information changes • Review policy changes and inform supervisor and charge entry specialist • Navigate insurance company proprietary websites to research policies and payments • Keep supervisor informed about accounts receivable matters • Respond to billing company requests in a timely manner • Research denials and submit corrected claims and medical documentation • Review and manage claims in work-dashboard hold buckets • Create, maintain, and update reports • Maintain confidentiality and follow HIPAA rules and regulations • Help train new revenue cycle staff • Collect and review end-of-day reports • Check work email regularly throughout the workday • Complete required trainings and in-services • Perform other duties as assigned

🎯 Requirements

• High School Diploma or equivalent with a minimum of five (5) years related experience; or an equivalent combination of education and/or experience • 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 multitask and prioritize • Extreme attention to detail • Strong organizational skills • Problem-solving and reasoning skills • 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 third-party payer guidelines • Working knowledge of healthcare, medical specialty, and 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 • Preferred: Two (2) years' experience working with an Electronic Medical Record (EMR) • Preferred: Medical Billing Certification • Reliable transportation • Ability to work assignments at any company location • Must maintain confidentiality and comply with HIPAA rules and regulations

🏖️ 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 • Remote work position • Flexible schedule • Professional training and in-services