Billing Specialist

Posted 7 Days Ago
Be an Early Applicant
Hiring Remotely in Office, Machaze, Manica, MOZ
Remote
22-31 Hourly
Mid level
Healthtech
The Role
Manage daily billing operations and ensure timely, accurate professional billing. Serve as billing-systems super-user; perform coding, charge entry, claims submissions, payment posting, AR follow-up, audits, compliance, report analysis, process improvements, and assist with hiring and training billers.
Summary Generated by Built In

We’re unique.  You should be, too.

We’re changing lives every day.  For both our patients and our team members. Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts?  Do you inspire others with your kindness and joy?

We’re different than most primary care providers. We’re rapidly expanding and we need great people to join our team.

The Billing Specialist is responsible for assisting in the day-to-day operations of the Billing Department and timely and accurate professional billing. Role is also responsible for ensuring compliance with all organizational, statutory, and federal, contractual obligations, regulations, and standards. This position serves as “super-user” for billing systems, including but not limited to maintaining edits, bridge routines, and establishing and maintaining billing system vendor and IT relationships.

ESSENTIAL JOB DUTIES/RESPONSIBILITIES:

  • Provides daily administration and coordination of billing functions
  • Supports billing and collections, and data processing to ensure accurate billing and efficient account collection. 
  • Reviews reports, works queues, monitors department’s productivity, recommends improvements to enhance the unit’s productivity and meet goals. 
  • Serves as the practice expert and go to person for all billing processes, limited coding questions and help resolve issues.  
  • Maintains contacts with other departments to obtain and analyze additional patient information to document and process billings.
  • Supports and performs the operations of the billing department including but not limited to; medical coding, charge entry, claims submissions, payment posting, accounts receivable follow-up, and reimbursement management.  
  • Audits current procedures to monitor and improve efficiency of billing and collections operations.
  • Ensures that the activities of the billing operations are conducted in a manner that is consistent with overall department protocol, and follow Federal, State, and payer regulations, guidelines, and requirements.
  • Participates in the development and application of operating policies and procedures.
  • Reviews and interprets operational data to assess need for procedural revisions and enhancements.
  • Participates in the design and implementation of specific systems to enhance revenue and operating efficiency.
  • Assists in recruiting, hiring, training, disciplining, and recommend termination of Medical Billers as required to maintain a skilled, enthusiastic, and productive workforce.
  • Performs other duties as assigned and modified at manager’s discretion.
KNOWLEDGE, SKILLS AND ABILITIES:
  • Good communication skills, oral and written
  • Ability to analyze data and work independently.
  • Must be able to develop and maintain a professional, service-oriented working relationships with physicians, insurance companies and healthcare providers.
  • Must be able to understand and comply with policies and procedures.
  • Knowledge of insurance guidelines, Medicare, Medicaid and Commercial Payers. 
  • Ability and willingness to travel locally, regionally and/or nationally up to 10% of the time; flexible to work weekends as needed
  • Spoken and written fluency in English
EDUCATION AND EXPERIENCE CRITERIA:
  • Associate degree required. 
  • Bachelor’s Degree or equivalent degree within specific field preferred. Two (2) years’ experience in a Patient Accounts setting required. 
  • Minimum three years’ experience with billing regulations, including but not limited to certifications, authorizations, insurance assignments, coordination of benefits and compliance.
  • Medical Billing and coding Certification required or ability to obtain within 1 year. 

PAY RANGE:

$22.0 - $31.42 Hourly

The posted pay range represents the base hourly rate or base annual full-time salary for this position. Final compensation will depend on a variety of factors including but not limited to experience, education, geographic location, and other relevant factors. This position may also be eligible for a bonuses or commissions.

EMPLOYEE BENEFITS

https://chenmed.makeityoursource.com/helpful-documents

We’re ChenMed and we’re transforming healthcare for seniors and changing America’s healthcare for the better.  Family-owned and physician-led, our unique approach allows us to improve the health and well-being of the populations we serve. We’re growing rapidly as we seek to rescue more and more seniors from inadequate health care. 

ChenMed is changing lives for the people we serve and the people we hire.  With great compensation, comprehensive benefits, career development and advancement opportunities and so much more, our employees enjoy great work-life balance and opportunities to grow.  Join our team who make a difference in people’s lives every single day.

Current employees, if you want to apply to our internal career site, please click HERE

Current Contingent Worker please see job aid HERE to apply

#LI-Onsite

Skills Required

  • Associate degree
  • Two years' experience in a Patient Accounts setting
  • Minimum three years' experience with billing regulations (certifications, authorizations, insurance assignments, COB, compliance)
  • Medical Billing and Coding Certification or ability to obtain within 1 year
  • Experience as billing systems super-user (maintain edits, bridge routines, manage vendor/IT relationships)
  • Knowledge of insurance guidelines including Medicare, Medicaid, and Commercial Payers
  • Good oral and written communication skills
  • Ability to analyze data and work independently
  • Spoken and written fluency in English
  • Ability and willingness to travel up to 10% and work weekends as needed
  • Bachelor's degree or equivalent (preferred)

ChenMed Compensation & Benefits Highlights

The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about ChenMed and has not been reviewed or approved by ChenMed.

  • Healthcare Strength Benefits include multiple medical, dental, and vision options, wellness incentives, and an Employee Assistance Program. Feedback suggests these health offerings are seen as a strong component of the total package.
  • Retirement Support A 401(k) with company match and financial wellness resources are emphasized. Feedback suggests the retirement program is viewed as competitive, with match and vesting details commonly highlighted.
  • Parental & Family Support Paid parental leave at 100% for up to four weeks and up to 10 days of backup child/adult care are provided. Feedback suggests these family supports add meaningful flexibility and security.

ChenMed Insights

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The Company
HQ: Miami Gardens, FL
1,492 Employees

What We Do

ChenMed brings concierge-style medicine and better health outcomes to the neediest populations – moderate-to-low income seniors with complex chronic diseases. Operating over 50 medical centers in eight states, we are known to our patients as Dedicated Senior Medical Center, Chen Senior Medical Center, or JenCare Senior Medical Center. Through our innovative operating model, physician-led culture and empowering technology, we drive key quality and cost outcomes that create value for patients, physicians and the overall health system. By recruiting focused physicians and reducing their doctor-to-patient ratios, we increase patients’ “face time” during each monthly appointment and help foster stronger doctor-patient relationships. Results of our high-touch approach to primary care are impressive, as illustrated in the recent Modern Healthcare cover story published on Oct. 20, 2018, which reports that: “Indeed, ChenMed's approach has resulted in 50 percent fewer hospital admissions compared with a standard primary-care practice, 28 percent lower per-member costs, and significantly higher use of evidence-based medications.”

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