Billing Specialist (REMOTE) - (Texas ONLY)

Dallas, TX Job Id:  1169 # of Openings:  5

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• High school diploma or equivalent required; Associates or bachelor’s degree in Finance, Accounting, Business Administration, or related field preferred
• 3 + years of billing and coding experience the healthcare field required; to include urgent care, ABA therapy or similar services
• Must possess in-depth knowledge of medical billing; experience with pediatric billing preferred
• Experience with robust practice management/EMR system, preferably eMDs and Waystar.

• Medical, Dental & Vision Benefits available employee, spouse, and dependents
• Voluntary Short-Term & Long-Term Disability & Voluntary Life Insurance (Employee, Spouse, Children).
• 401k with 4% company match on 5% employee contribution.
• Holiday pay (Closed Thanksgiving and Christmas); shorter holiday hours.
• 80 hours of PTO accumulated through the year; available for rollover
• More PTO accrued after three and five years of service
• Free in-house medical care for employee and dependent children
• Employee recognition and appreciation programs
• Professional Development Opportunities

• Comprehensive knowledge of coding, billing, processes and requirements
• Knowledge of local payers, to include billing and claims resolution processes
• Knowledge in physician practice technology as it relates to creating, transmitting and collecting claims
• Knowledge of physiology, anatomy, neurology and medical terminology.
• Ability to communicate clearly both written and verbally.
• Ability to work independently with detail and accuracy.
• Excellent interpersonal communication skills
• Ability to act with discretion, tact, and professionalism in all situations.
• Ability to work in a remote or hybrid work environment.
• Ability to work well within a team dynamic.
• Proficiency in Microsoft Office Suite (Word, Excel, Outlook, PowerPoint)
• Ability to use a fax machine, copier and a scanner
• Must have a passion for Revenue Cycle and a positive mindset
• Bilingual a plus!
• We use E-Verify

• Performs all necessary tasks to provide overall direction and support in billing, accounts receivable and related areas.
• Responsible for managing the charge capture, coding, billing and billing edits.
• Responsible for coordinating with providers and Regional Medical Directors to create efficient, accurate templates and automated charging/billing processes
• Analyze trends, impacting charges, coding, and collections and take appropriate action to realign staff and revise policies.
• Analyze billing and claims for accuracy and completeness and submit claims to proper insurance entities and follow up on any issues.
• Ensures that the correct coding and compliance guidelines are being adhered to.
• Maintains systems, policies & procedures to ensure compliance with all contractual obligations of payers.
• Responsible for monitoring reimbursements.
• Responsible for staying familiar with federal and state regulations and company policies.
• Effectively communicates to employees and hold yourself accountable for meeting those same expectations.
• Assists with staff communication providing updates, resolving issues, setting goals and maintaining standards.
• Assists with work allocation and problem resolution.
• Assists with month end reports
• Performs other related duties as assigned.

• Performs appropriate billing/payment posting functions as assigned.
• Follows up on unpaid or improperly paid claims as necessary.
• Reviews and monitors select accounts within the accounts receivable system.
• Determines and performs appropriate collection efforts to resolve accounts, to include follow-up online, by phone and written correspondence.
• Effectively applies protocol in company EMR: Invoice Balance Responsibility/Applies Invoice Status correctly.
• Builds claims and applies knowledge of medical terminology, ICD/CPT codes to complete daily
• Corrects denied submission and denied claims in a timely manner and notes invoice accordingly.
• Submits claims electronically and by paper.
• Assist with telephone inquiries and billing questions promptly, with professionalism and courtesy.
• Generates and reviews patient statements effectively and ensures appropriate collection correspondence is sent and documented per protocol.