账单专员 - 远程
Billing Specialist - Remote
Overview
我们正在寻找一位经验丰富的账单专员加入我们的业务办公室团队。在这个全远程职位中，您将负责确保医疗索赔的准确和及时账单处理，解决索赔问题，并支持多种付款方的报销流程。理想的候选人应注重细节、高度有条理，并具备医疗账单、医疗保险、医疗补助以及第三方付款方要求方面的经验。
如果您能在快节奏的环境中茁壮成长，喜欢解决问题，并对准确的医疗账单充满热情，我们期待您的加入。
Responsibilities
- 按照相关规则和法规，及时准确地完成所有第三方电子和手动账单。
- 完成通过账单系统识别的所有付款方特定编辑。
- 解决与不完整索赔相关的问题，包括跟进未传输的索赔。
- 通过在线系统向医疗保险/医疗补助提交调整索赔。
- 在手动索赔账单时附上适当的文件和其他医疗记录。
- 每天将所有手动索赔邮寄给各别付款方。
- 处理分配的每日报告。
- 记录每日已开具的索赔工作量，并确保在患者会计系统的备注中正确记录。
- 完成所有每月所需的内部培训和教育课程。
- 具备行为健康经验，包括CBH、CCBH者优先
- 具备SSI和/或Availity Pro经验者优先
- 其他指派的任务
Qualifications
Qualifications
- 需要高中毕业或同等学历。
- 需要5年相关经验和/或培训，或同等教育和经验组合。
- 持有认证CPT编码员资格者优先。
- 具备医疗保险和医疗补助经验者优先。
- 最近担任过医疗补助、医疗保险或第三方账单员或账单协调员或收款专家者优先。
- 熟练使用计算机：需掌握Microsoft Excel、Microsoft Word、清算所应用程序，以及扎实的10键输入和数学技能。需要了解与HIPAA相关的法律、法规和指南的医疗实践和程序知识。
- 需要在繁忙的办公环境中在最少监督下工作。
我们致力于为所有申请者提供平等的就业机会，无论其是否受到适用法律保护的个人特征。
查看英文原文
Overview
We are seeking an experienced Billing Specialist to join our Business Office team. In this fully remote role, you will be responsible for ensuring accurate and timely billing of healthcare claims, resolving claim issues, and supporting reimbursement processes across a variety of payer sources. The ideal candidate is detail-oriented, highly organized, and experienced in medical billing, Medicare, Medicaid, and third-party payer requirements.
If you thrive in a fast-paced environment, enjoy problem-solving, and are passionate about accurate healthcare billing, we'd love to hear from you.
Responsibilities
- Completes all third party electronic and manual billing timely and accurately in accordance with appropriate rules and regulations.
- Completes all payer specific edits identified through the billing system.
- Resolves issues associated with incomplete claims including follow up of non-transmitted claims.
- Submit adjustment claims to Medicare/Medicaid through use of online systems.
- Attaches appropriate documents when billing manual claims and or other medical records.
- Mails all manual claims to individual payers daily.
- Works all daily reports as assigned.
- Records daily productivity of claims billed and assures proper documentation in the notes of the patient accounting systems.
- Completes all monthly required in-services and educational training as required.
- Experience with Behavioral Health, including CBH, CCBH preferred
- Experience with SSI and / or Availity Pro preferred
- Other duties as assigned
Qualifications
Qualifications
- High School graduate or equivalent required.
- 5 years of related experience and/or training: or equivalent combination of education and experience is required.
- Certified CPT coder is a plus.
- Medicare and Medicaid experience is a plus.
- Recently held a position as Medicaid, Medicare or Third Party Biller or Billing Coordinator or Collection Specialist is preferred.
- Computer savvy: Microsoft Excel, Microsoft Work, Clearinghouse application and solid 10-key and mathematical skills is required. Knowledgeable in medical practices and procedures as it relates to the laws, regulations, and guidelines pertaining to HIPAA is required.
- Ability to work with minimal supervision in a busy office setting is required.
We are committed to providing equal employment opportunities to all applicants for employment regardless of an individual’s characteristics protected by applicable state, federal and local laws.
Originally posted on Himalayas