医疗计费专员
Medical Billing Specialist
Raventra Health 是一家医疗服务平台，为医疗机构和医院提供外包计费、编码和理赔处理解决方案。作为医疗计费专员，您将负责所分配客户的收入周期关键阶段，包括费用录入、理赔提交、付款记录和拒赔处理。您将帮助确保理赔准确处理，付款高效收取，以及计费问题及时解决。
您将负责：
- 负责所分配客户的费用录入、理赔提交和付款记录
- 处理首次拒赔，并根据需要重新提交或申诉理赔
- 监控并报告所分配账户的拒赔率和计费表现
- 直接使用保险公司门户，并保持对保险公司特定要求的了解
- 与医疗机构的管理人员和客户团队沟通，解决文档和计费方面的缺口
- 达到每日的生产力、准确性和质量标准
- 审核理赔以确保计费准确性，并识别可能延迟报销的问题
- 维护准确的计费记录，并遵循既定的合规和文档流程
我们寻找：
- 2年以上医疗计费经验
- 有与多个保险公司合作及处理保险公司特定计费要求的经验
- 有使用医疗管理或计费系统（如 Epic、Athena 或 eClinicalWorks）的经验
- 熟悉拒赔代码、理赔更正和申诉流程
- 注重细节，能够同时管理多个客户账户和优先事项
- 能够与医疗机构团队、保险公司和内部利益相关者有效沟通
- 符合 HIPAA 标准的私人工作空间，能够在完全远程环境中高效工作
加分项：
- CPB 认证
- 有专科特定医疗计费经验
- 有多保险公司环境工作经验
- 有应收账款跟进经验
薪酬与福利
薪酬将在面试过程中讨论，并根据候选人的经验、资格和相关的医疗计费专业知识确定。
福利和其他雇佣详情将在招聘过程中讨论。
招聘流程
申请审核 → 初步交谈 → 实操评估 → 招聘经理面试 → 发放录用通知。
平等机会
Raventra Health 是一家平权雇主。我们对所有符合条件的申请人一视同仁，不因种族、肤色等因素而有所区别。
查看英文原文
Raventra Health is a medical services company providing outsourced billing, coding, and claims processing solutions for provider groups and hospitals. As a Medical Billing Specialist, you will manage key stages of the revenue cycle for assigned clients, including charge entry, claim submission, payment posting, and denial resolution. You will help ensure claims are processed accurately, payments are collected efficiently, and billing issues are resolved promptly.
WHAT YOU WILL DO
- Manage charge entry, claim submission, and payment posting for assigned clients
- Work first-pass denials and resubmit or appeal claims as appropriate
- Monitor and report on denial rates and billing performance for your assigned accounts
- Work directly with payer portals and maintain up-to-date payer-specific knowledge
- Liaise with provider practice managers and client teams to resolve documentation and billing gaps
- Meet daily productivity, accuracy, and quality standards
- Review claims for billing accuracy and identify issues that could delay reimbursement
- Maintain accurate billing records and follow established compliance and documentation procedures
WHAT WE ARE LOOKING FOR
- 2+ years of experience in medical billing
- Experience working with multiple insurance payers and payer-specific billing requirements
- Experience with a practice management or billing system such as Epic, Athena, or eClinicalWorks
- Working knowledge of denial codes, claim corrections, and appeal processes
- Strong attention to detail and ability to manage multiple client accounts and priorities
- Ability to communicate effectively with provider teams, payers, and internal stakeholders
- HIPAA-compliant private workspace and ability to work effectively in a fully remote environment
NICE TO HAVE
- CPB certification
- Experience with specialty-specific medical billing
- Experience working in multi-payer environments
- Experience with accounts receivable follow-up
COMPENSATION AND BENEFITS
Compensation will be discussed during the interview and will reflect the candidate’s experience, qualifications, and relevant medical billing expertise.
Benefits and additional employment details will be discussed during the hiring process.
HIRING PROCESS
Application review → introductory conversation → practical assessment → hiring manager interview → offer.
EQUAL OPPORTUNITY
Raventra Health is an equal opportunity employer. We consider all qualified applicants without regard to race, colour, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other protected characteristic. If you need an accommodation at any stage of the process, please contact us and we will work with you to provide appropriate support.
Location: Remote
Originally posted on Himalayas