Billing Specialist

3+ years

$16.50 To $21.00 Hourly

Remote, USA

10 Nov. 25, 2024

Job Description

Job Type: Full Time Education: B.Sc./ M.Sc./ M.Pharm/ B.Pharm/ Life Sciences Skills: Causality Assessment, Clinical SAS Programming, Communication Skills, CPC Certified, GCP guidelines, ICD-10 CM Codes, CPT-Codes, HCPCS Codes, ICD-10 CM, CPT, HCPCS Coding, ICH guidelines, ICSR Case Processing, Interpersonal Skill, Labelling Assessment, MedDRA Coding, Medical Billing, Medical Coding, Medical Terminology, Narrative Writing, Research & Development, Technical Skill, Triage of ICSRs, WHO DD Coding

Job Title: Billing Specialist
Location: Global Therapy & Services
Salary Range: $16.50 - $21.00 Hourly

Position Summary:
The Billing Specialist is responsible for managing the billing and financial functions necessary for the efficient operation of Global Therapy & Services, ensuring a person-centered environment. This role involves submitting private, state, and Medicaid insurance claims, collecting co-pays, resolving claims disputes, and assisting with various financial transactions, including accounts payable, receivables, and cash receipts. The Billing Specialist will also serve as a backup for the Resource Specialist and Bookkeeper.

Key Responsibilities:

Perform billing operations using the agency's billing platform
Work with private pay customers and insurance carriers to submit invoices and collect co-pays
Verify Medicaid/Medicare/Tricare claims and ensure proper coding
Resolve disputed claims in a timely manner
Complete invoicing, accounts receivable/payable for agency-related entities
Cross-train in finance to back up Resource Specialist and Bookkeeper as needed
Administer medications as needed, following appropriate techniques and passing Medication Administration testing
Perform lifting and transferring techniques as trained (up to 50 lbs)
Drive agency vehicles for business-related tasks when required
Communicate effectively and work in various environments, including both quiet and noisy settings

Additional Responsibilities:

Assist with preparation of monthly financials
Operate Electronic Medical Records (EMR) and reconcile insurance payments
Provide support for debt collection follow-ups and agency reporting requirements
Serve as backup for Bookkeeper and Resource Specialist during their absences
Work flexible schedules or irregular hours as needed

Minimum Qualifications:

High School Diploma or GED
At least 1 year of AR/Billing experience in a healthcare setting
Experience using EMR systems
Must be a licensed driver with reliable transportation
Successful completion of background, drug, and motor vehicle checks

Preferred Qualifications:

3+ years of Medical Accounts Receivable/Medical Billing experience

Physical Demands:

Frequent sitting, walking, standing, and occasional lifting of up to 50 lbs
Ability to perform repetitive hand motions and sit at a computer for long periods
Must be able to bend, squat, kneel, and reach above head as needed

Work Environment:

Moderate to loud noise levels in a primarily indoor environment
Must be able to work irregular or extended hours, including evenings and weekends

Skills & Abilities:

Strong communication skills, both orally and in writing
Ability to solve practical problems and interpret instructions
Good organizational skills and attention to detail
Ability to work independently and within a team

Supervision:

Reports to the Community Supports Director and Chief Financial Officer

Additional Skills:

Patience and the ability to work well with staff, individuals in service, and the community
Ability to perform duties in compliance with agency policies and procedures

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Billing Specialist

Job Description

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