Career Opportunities

This is a potential hybrid-remote position that requires up to 90 days in office training. After training, may be eligible to work a hybrid-remote schedule which will include 2-3 in office days per week.

Responsible for supporting the billing and cash posting teams, this position will answer patient insurance questions, assist with front-end billing scrub claims, documentation on patient accounts from insurances, assist with cash posting, and support all functions within the billing and cash-posting teams.

• Competently operates standard office equipment, EHR software, and phone system
• Answers billing questions from patients, insurance companies, and clients
• Supports billing team with documentation of payer remittance and notification notices
• Reviews and sends patient statements based on client
• Reviews and sends patient balances and patient payments to third-party collections following the Collections and Early Notification Processes based on client
• Submit and follow up on Medicaid cross-over/wrap/tertiary claims by entering information into Medicaid based on client
• Review and Correct eligibility denials from payers on patient accounts to resubmit claims to accurate payer(s) based on client
• Research and identify payer timely filing limits then identify claims approaching timely filing. Provide these claims to assigned portfolio Medical Claims Specialist to avoid timely filing
• Provide backup support to cash posting team as needed
• Responsible for front-end claim scrubbing to complete necessary action(s) for clean claims to be submitted to payer(s)
• Back-up support for printing and mailing claims and/or documentation to payers
• Checks, corrects, and adjusts errors in patient demographics as needed
• Excellent Written and Oral Communication 
• Please live within 1-2 hours of our main office location for any on site meetings that may arise. 

We are looking for an organized and experienced medical biller to join our team. The ideal candidate will be well-versed in medical billing. We would love to see experience with either eCW or NextGen billing software. This role requires meticulous attention to detail, excellent communication skills, and a thorough understanding of both government and non-government contractual billing guidelines. This position will focus on:

• Follow-up: Regularly monitor patient account insurance balances to ensure timely payment and resolve any outstanding issues.
• Payer Communication: Contact payers regarding payment status, resolve incorrect payment issues, and ensure proper reimbursement.
• Denial Management: Work closely with leadership to address and resolve any denied claims promptly.
• Understanding Guidelines: Stay informed about both government and non-government contractual billing and follow-up guidelines, ensuring compliance with individual payer requirements.
• Payment Resolution: Address issues related to lack of payment or improper payment by government, non-government, and self-payers, ensuring that all incorrect payment issues are resolved promptly.

Proactively establish consistent and reliable resource for all Claims, Billing, and Payment Posting staff. Position is responsible for monitoring, identifying, and resolving team performance opportunities. Position will work closely with Manager to address known performance issues.

• Competently operates standard office equipment, EHR software(s), and phone system. *NextGen Preferred
• Monitor assigned team performance against organizational and RCM goals.
• Monitor workloads of team to ensure completion of designated assignments and proactively identify and resolve issues.
• Provide feedback to Manager on teams to optimize efficiency and balance workloads
• Facilitate consistent communication among RCM Team and Clients.
• Work with RCM clients to improve processes and be available to answer questions for Clients
• Track PTO and attendance for designated team.
• Proactively identify and resolve workflow deficiencies.
• Perform all Medical Claims Specialist duties for designated inventory, including, but not limited to, claim scrubbing, electronic claim submission, denial management, A/R follow-up.
• Backup/support staff in their absence.
• Perform monthly audits on team members and report gaps to the Management team
• Train and onboard new staff. Provide continual training and education to current staff.
• Participates in month-end reconciliation and payer analysis process.
• Participate in Client meetings, presenting information related monthly charges, collections, adjustments, A/R, etc.
• Assist leadership in developing reports.
• Excellent Written and Oral Communication.
• Detail orientated and attentive to accuracy.