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Medical Billing Specialist

1 month ago

Denver, Colorado, United States WellPower - All External Jobs Full time
Job Summary

WellPower is seeking a highly skilled Medical Billing Specialist to join our team. As a key member of our Accounts Receivable/Billing team, you will be responsible for medical insurance billing, reporting, and accounts receivable reconciliation functions, denial management, verifying and updating client insurance benefit information, tracking required client financial documentation, obtaining and tracking authorizations, consulting clients via phone to obtain information, explain benefits and explain and collect balances, coordinating insurance information with clinical sites.

This is a 90% remote position, but you must reside in Colorado. We require experience verifying Medicaid, Medicare, and commercial insurance. Certification in CPB/CPC-A is encouraged to apply.

Key Responsibilities
  • Prepare and submit electronic and paper claims to Medicare, Medicaid, and other Third-Party Payers in accordance with prescribed standards.
  • Post receivables and reconcile AR accounts.
  • Denial Management
  • Maintain accurate billing records in accordance with prescribed standards.
  • AR monthly reconciliation reports
  • Obtain and maintain accurate, detailed client eligibility information in AR and client database system.
  • Verify client eligibility and benefits.
  • Track service authorization requirements and usage and obtain authorization as necessary.
  • Cross trains in several functional areas or specific duties, processes, as assigned.
  • Answer incoming calls from clients, clinicians, and other staff members on the department's Billing Line phone system.
  • Maintain a trauma-informed environment of wellbeing.
  • Perform other duties as assigned.
Requirements
  • Preferred associate degree in business, medical billing, or related field, or equivalent experience in healthcare/medical insurance environment.
  • Minimum two years of healthcare financial/business office or similar third-party payer claims experience. Must have experience verifying Medicaid, Medicare, and commercial insurance. CPB/CPC-A encouraged to apply.
Working Conditions

This role is approximately 90% remote, with one in-office day per month. Candidates must reside in Colorado in order to be considered.