Job Description
Job DescriptionSalary: $22-$28
Are you passionate about investing in yourself and others? Do you believe that a team can change the world? We're growing and building out our Management Services division, and were on a mission to find a Senior Medical Billing Specialist to help us support some truly important people: patients and the providers who care for them.
In this role, youll align your attention to detail, tech-savvy nature, and strong time management skills to keep the revenue cycle running smoothly. Youll tackle everything from submitting claims to resolving denials, ensuring that every step of the billing process is handled with care and precision. If youre interested, check out the details below and fill out our short application. Tell us a little about you, and we can set up a time to talk more!
WHAT YOU'LL DO:
- Review and audit complex charges to ensure compliance with payer requirements and internal billing policies.
- Submit timely and accurate claims, proactively resolve denials, exclusions, and unbilled claims.
- Oversee the correction of claims and reconciliation of missed or delayed visits.
- Evaluate authorization requirements, ensure accuracy, and submit to payers, escalating issues as needed.
- Manage and fulfill medical record requests in accordance with payer and legal standards.
- Conduct in-depth verification of benefits, communicate findings clearly with clients, and assist with financial counseling when needed.
- Monitor and manage Patient Accounts Receivable (AR), identify trends, and resolve high-level provider or patient account issues.
- Manage shared inboxes and fax communications with a focus on prioritization and workflow efficiency.
- Collaborate with leadership on process improvements, system optimizations, and training initiatives.
- Demonstrate adaptability in a fast-paced environmentnavigate changing payer requirements, evolving internal processes, and shifting team priorities with a proactive and flexible mindset.
Additional Responsibilities:
- Cross-train and provide coverage for:
- Posting and balancing payments.
- Researching and managing refund requests.
- Resolving insurance AR balances and denials.
- Schedule in-home visits to create optimized routes for patient care
- Answering phone calls and providing support.
WHO YOU ARE:
- You have excellent communication skills and are detail-oriented.
- You enjoy the satisfaction of checking off a task and dont mind working through repetitive processes.
- Youre naturally curious, always asking questions and looking for ways to improve systems.
- You take a proactive approach to your work, identifying potential issues before they become problems.
- You can see both the fine details and the bigger picture, understanding how your work fits into the overall revenue cycle.
- Youre tech-savvy, comfortable using different software platforms to streamline processes.
- You excel at time management and can juggle multiple tasks at once without losing focus.
- Youre empathetic and adaptable, able to handle changes in a fast-paced environment.
SKILLS YOU'LL NEED:
- Strong communication skills, both written and verbal.
- Ability to work through detailed processes, like claim submissions and invoicing, with accuracy.
- A knack for recognizing patterns and identifying potential issues early.
- Tech-savviness and familiarity with billing systems and tools.
- Excellent time management and multitasking skills.
- A proactive, problem-solving mindset.
EXPERIENCE REQUIREMENTS:
- Minimum of two years in medical billing or a related role.
- Experience with submitting claims and working through AR processes is preferred.
- Comfortable with technology and willing to learn new systems quickly.
BENEFITS:
- Excellent healthcare insurance coverage (90% of your premium paid).
- 401K with employer matching.
- Generous holiday, PTO, and sick time benefits.
- Flexible schedule and work environment.
- Really cool t-shirts!
HOW TO APPLY:
- Reflect on whether youre ready to join a team thats transforming the medical billing industry by investing in people and processes.
- Check out our website to learn more about our company: https://www.wayfinderrcm.com/joinourteam
- Follow us on your favorite social media platform to learn more about our mission and culture
- Use the link to upload your resume and complete a short application. We cant wait to hear from you and see how you can make an impact with us!
remote work