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Senior Medical Billing Specialist
2 months ago
We are seeking a highly skilled Senior Medical Billing Specialist to manage and oversee our billing and revenue cycle processes.
Job SummaryThis role will focus on ensuring timely and accurate billing for Remote Patient Monitoring, Chronic Care Management, and Medical Nutrition Therapy services.
Responsibilities and Duties- Manage the end-to-end billing process for RPM, CCM, and MNT services, including charge entry, claims submission, and payment posting.
- Validate patient benefits and verify insurance eligibility by contacting insurance providers.
- Ensure compliance with all Medicare, State programs, HMO/PPO regulations and guidelines.
- Conduct thorough follow-ups with insurance companies to resolve outstanding claims and denials, ensuring prompt resubmission and appeals.
- Analyze revenue reports, identify trends related to errors, and work to improve revenue cycle performance.
- Collaborate with internal teams, particularly IT, to streamline billing workflows and enhance system efficiencies.
- Prepare and analyze reports for key stakeholders, highlighting financial health and opportunities for growth.
- Perform audits on billing records and rectify discrepancies to maintain accuracy.
- Conduct training sessions for internal teams and external stakeholders on billing processes and protocols.
- Implement strategies to improve claim acceptance rates, reduce denials, and enhance the overall billing experience.
- Maintain organized documentation of all billing activities, including invoicing, payments, and follow-ups on overdue payments.
- Ensure HIPAA compliance throughout the billing process.
- Monitor and stay current on changes in healthcare billing and coding regulations.
- Bachelor's degree in Accounting, Healthcare Administration, Finance, Business, or a related field.
- 8+ years of experience in a healthcare billing or related field.
- Strong knowledge of CPT, ICD-10, HCPCS codes, and experience using EHR systems like EPIC, Kareo, eCW, Athena, and others.
- Proficiency in medical terminology and insurance plans.
- Competitive salary and performance-based bonuses.
- Health, dental, and vision insurance.
- Opportunities for professional development and certifications in medical billing and coding.
- Flexible work schedule with potential for remote work.
- Access to state-of-the-art healthcare software and technology.
- Collaborative and supportive work environment focused on employee growth.
