Healthcare Billing Specialist (AR/AP specialist) -Remote

We are seeking a dedicated Billing Specialist to join our team. The ideal candidate will have a strong background in medical collections, coding, and terminology to support our health services.

Key Responsibilities:

Accounts Receivable (AR):

• Billing and Claims Submission: Prepare and submit accurate claims for our client to insurance companies, Medicare, Medicaid, and private payers.
• Payment Posting and Reconciliation: Record payments and ensure proper allocation of funds. Reconcile payment discrepancies.
• Follow-up on Denied Claims: Investigate and resolve denied or unpaid claims by communicating with insurance companies, patients, and internal teams.
• Patient Billing: Send out patient statements and follow up on outstanding balances, including payment plans as necessary.
• Insurance Verification: Verify patient insurance coverage and pre-authorization requirements prior to service delivery.
• Maintain Compliance: Ensure billing processes comply with healthcare regulations, including HIPAA, and use appropriate coding such as ICD-10 and CPT.

Accounts Payable (AP):

• Invoice Management: Review, verify, and process invoices for our client, vendors, and other operational costs.
• Payment Processing: Ensure timely payment to vendors and contractors, utilizing electronic systems or checks as appropriate.
• Expense Reporting: Track, report, and reconcile operational and overhead expenses related to the department.
• Financial Audits: Assist with internal audits related to both AR and AP to ensure the accuracy of financial records.
• Vendor Relations: Maintain relationships with external vendors, ensuring timely communication and issue resolution regarding payments.

Additional Duties:

• Reporting: Prepare monthly AR/AP reports to provide insights into financial performance, including cash flow, billing, and collections.
• Cross-Department Collaboration: Work closely with clinical staff, office managers, and the finance department to optimize the billing and payment processes.
• Continuous Improvement: Recommend process improvements to enhance efficiency, reduce errors, and improve patient and vendor satisfaction.

Job requirements

• Education: High school diploma or equivalent; Associate or Bachelor’s degree in accounting, finance, or a related field preferred.
• Experience: Minimum of 2 years of billing and collections experience, preferably in our client field. Experience with accounts payable is also required.
• Skills:
• Excellent attention to detail and organizational skills.
• Strong problem-solving skills and ability to handle denied claims efficiently.
• Strong communication skills for interacting with patients, insurance companies, and internal teams.

Job Type: Full-time

Pay: $38.00 - $54.00 per hour

Expected hours: 40 per week

Benefits:

• 401(k) matching
• Dental insurance
• Flexible schedule
• Health insurance
• Life insurance
• Paid time off
• Vision insurance
• Work from home

Schedule:

• 8 hour shift
• Monday to Friday

People with a criminal record are encouraged to apply

Experience:

• Medical collection: 2 years (Required)
• Medcial Billing: 2 years (Required)

Work Location: Remote