Overview
A nonprofit leader in health care innovation is seeking a Billing Specialist to provide accurate and timely revenue cycle and account management services to member clients. This role requires strong attention to detail, analytical thinking, technical skills, and communication abilities to deliver high-quality customer service and support members' financial health. The specialist will contribute to key performance indicators by identifying and resolving claims issues, maintaining compliance with payer requirements, and engaging in continuous process improvement.
Responsibilities
- Process claims, manage accounts receivable, and maintain documentation in compliance with payer guidelines and organizational systems.
- Investigate and resolve claim denials, identify trends, and contribute to process improvements that enhance reimbursement outcomes.
- Communicate effectively with team members and stakeholders to clarify billing requirements and foster a cooperative work environment.
- Organize and prioritize daily billing activities using organizational tools and processes to ensure timely and efficient task completion.
- Apply foundational knowledge of the U.S. healthcare system and organizational solutions to billing operations.
- Perform other duties as assigned.
Requirements
- Experience in billing and/or coding revenue cycle preferred.
- Working knowledge of Medicare, Medicaid, MVA, Workers Compensation, and private insurance billing and reimbursement processes; legal requirements knowledge preferred.
- Experience billing for Nevada highly preferred.
- Federally Qualified Health Center (FQHC) experience and knowledge preferred.
- Dental billing experience preferred.
- Medical Billing Certification from the American Academy of Professional Coders (AAPC) preferred.
- For acute care hospital work, rural hospital experience is required.
- Completion of a 50–60-minute competency assessment prior to team interview to evaluate alignment with nine core competencies.
Work Location and Travel
- This is a 100% remote position with no physical corporate office.
- Employees work from home and may support member organizations on-site for new software installations.
- Nationwide travel up to 20% may be required based on business needs.
Work From Home Requirements
- Ability to work independently and efficiently from a home office environment.
- High-speed internet service.
- Distraction-free workplace.
- Travel up to 20% nationally for on-site support based on business requirements.
Physical Requirements and Work Environment
- Frequent interpersonal skills, teamwork, customer service, creativity, mentoring, and presentations.
- Occasional decision making and independent judgment.
- Regularly required to sit for long periods, stand, walk, use hands and arms.
- Work performed in a virtual home-office environment with camera use required for virtual meetings.
- Routine use of standard office equipment such as computers and mobile devices.
Compensation and Benefits
- Hourly pay range: $20.48 - $32.77.
- Compensation based on skills, certifications, education, experience, training, responsibilities, internal equity, and market data.
- Comprehensive benefits package offered.
Additional Information
- COVID-19 vaccination is required for all employees, including remote workers, contractors, interns, and new hires, unless a medical or religious exemption is approved.
Equal Opportunity Statement
The organization is an equal opportunity employer committed to building a diverse team representing various backgrounds, perspectives, and skills. Employment decisions are based on merit, performance, and business needs without discrimination based on race, ethnicity, sex, gender identity, sexual orientation, religion, marital status, age, disability, veteran status, or other protected characteristics.