BILLING SPECIALIST
InHealth Lifestyle Therapeutics
Tampa, FL 33625
Remote
Billing Specialist
We are a lifestyle therapeutics company with a mission to prevent, manage and improve chronic disease for the millions of Americans. Our 1:1 video health coaching solution are clinically validated, covered by insurance, and prescribed by overseeing physicians. We partner with private practices, health systems, payers, employers, and medical device innovators to bring our services to patients across the country.
Come join our team in a role that will have a direct and meaningful impact on the lives of healthcare providers and patients that we work with every day. Collaborating side by side with a smart, mission-driven, and collective team who come with over 12 years of telehealth care experience.
Essential Functions
• Will assist in the clarification and development of process improvements and inquiries, assure payments related to patient services from all sources are recorded and reconciled timely to maximize revenues for provider accounts and provide continues support to their billing team.
• Key position in the Revenue Cycle, manages the claims process, including accurate and timely claim creation, follow-up and correspondence with providers, insurance inquiries/correspondence.
• Other important duties include but are not limited to:
Provider Billing Specialist and Support (80% of time)
• Identify and handle patient inquiries regarding billing concerns.
• Provide billing support for any questions from provider billing or office staff.
• Denial and insurance follow-up management with provider billing or office staff
• Review billing reports with provider account billing team and assist in re-working/re-submitting any denied claims.
• Ability to research and provide solutions and/or update policies as needed. Assure coding is compliant and up to date.
• Reviews provider accounts and makes recommendations to their billing team regarding non collectible accounts.
• Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.
• Create or maintain policy and procedures for all areas of job responsibilities.
Billing and Claims processing (20% of time)
• Prepares and submits clean claims to third party payers either electronically or by paper.
• Maintains relationship with multiple clearinghouses, including appropriate follow-up with support issues.
• Issues adjusted, corrected, and/or rebilled claims to third party payers.
• Coordinate the process of patient eligibility through various third-party sources or via phone call.
• Coordinate collection process, to include any projects from accounts and tracking current collections in multiple clearing houses.
• Work with administrative staff, ensure appropriate collection of insurance verifications and proper collaborative communication.
Job Requirements:
• Knowledge of medical billing / collection practices required.
• Strong analytical and research skills required.
• Works well in environment with firm deadlines; results and detail oriented.
• Perform multiple tasks effectively.
• Able to work both independently and as part of a team.
• Capable of making timely, independent decisions.
Experience:
• Current coding certification required.
• Previous medical billing experience including knowledge of billing related reporting; 2-3 years’ experience in billing for telehealth, preventative services, chronic care management billing, and collection practices.
• Working knowledge of medical billing systems, particularly AdvancedMD
• Working knowledge of CPT, ICD-10, and POS codes
• Excellent organizational skills
• Proficiency in Microsoft Office 365
Preferred
• Experience working with medical payers across multiple states including Medicare, Medicaid, and commercial insurance.
• Associates in Medical Billing and Coding or Business Administration
Hours & Location:
• Full time; M-F 9am-6pm EST; 100% Remote - work from anywhere