Remote Billing Specialist

Job description

Duties and Responsibilities: - Clean, review, and submit claims for behavioral health providers (specifically autism providers) - Track claim statuses and remittances - Work denials and follow up with unpaid claims proactively - Manage patient responsibility invoices (e.g., patient co-insurance, co-pays) - Evaluate insurance operations and identify efficiency improvements - Analyze EOBs and post manual payments - Submit and follow up on Commercial and Medicaid, primary and secondary insurances - Communicate to administrative team for errors and corrections - Work and manage claims from all aging buckets including posting and appeals, including resubmission of claims and appropriate adjustments. - Input and review billing data for accuracy, including data entry. - Ensure that billing and collections adhere to all compliance policies and procedures. - Work with Billing Manager and local clinic team members to ensure accurate billing. - Follows up on claim resolution from initial billing through final resolution including identifying and correcting billing errors/rejections and denials (denial management investigations & appeals). - Manage claims submission and AR for assigned clinics...