Remote Billing Specialist for Denials Management | WFH

Job Overview

Join our esteemed physician-founded national medical group as a Denials Management Billing Specialist, where you will be pivotal in ensuring adherence to payor guidelines and regulatory standards. This remote, work-from-home role offers the opportunity to significantly impact our financial processes while working within a dynamic team environment.

Key Responsibilities

• Conduct audits on denial adjustment requests from various channels.
• Collaborate across departments and with external entities to resolve reimbursement challenges.
• Analyze and track denial trends, engaging with payors and billing companies for effective resolutions.
• Maintain comprehensive documentation and participate in compliance audits.
• Contribute insights to Denials Management Committee meetings aimed at enhancing processes.
• Address vendor escalations and manage denial trends towards resolution.
• Facilitate the timely posting of adjustments in the billing system and assist leadership with research and reporting tasks.
• Effectively organize and prioritize tasks to meet deadlines, optimize collections, and achieve performance metrics.
  
  

Required Skills

• Strong work ethic with a commitment to meeting deadlines.
• Excellent verbal and written communication skills.
• Proven ability to build and maintain strong professional relationships.
• Capacity to collaborate effectively within team settings.
• Critical thinking skills to make informed decisions.
• Adaptability and resourcefulness in a fast-paced environment.
• Proficient in data entry and Microsoft Excel.
• Knowledgeable in state, federal, and commercial payor regulations.
  
  

Qualifications

• High school diploma or equivalent.
• A minimum of 3-5 years of experience in medical insurance authorization, billing, patient accounts, or a comparable role.
• Demonstrated experience in denial and claims resolution processes.
  
  

Career Growth Opportunities

This role offers unique opportunities for professional advancement within a leading medical group that values innovation and patient care. Engage in special projects and contribute to process improvements, enhancing your career trajectory.

Company Culture And Values

Our organization prides itself on fostering a collaborative and diverse work environment, where teamwork and relationship-building are integral. We are committed to diversity, equity, and inclusion, ensuring that all qualified applicants are welcomed without regard to any characteristic protected by law.

Compensation And Benefits

We provide a robust benefits package, including:

• Medical, dental, and vision insurance.
• Health care and dependent care flexible spending accounts.
• A 401(k) retirement savings plan with company matching.
• Paid time off (PTO) starting from day one at a rate of 15 days per year.
• Ten company-paid holidays annually.
  
  

Employment Type: Full-Time