Billing and Collections Specialist
Enara Health
full-time
Posted on:
Location Type: Remote
Location: California • United States
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Salary
💰 $19 - $21 per hour
About the role
- Manage billing within the practice management system, focusing on working draft invoices and resolving rejections.
- Perform final reviews for duplicate claims and manage the accurate export of billing data.
- Handle Remote Patient Monitoring (RPM) submissions to ensure timely reimbursement.
- Review billing data for completeness and accuracy and ensure all provider notes are signed.
- Call insurance companies to verify eligibility and benefits for new leads, utilizing portals such as OneSource and Availity.
- Activate new accounts in the patient account management system for membership switches.
- Review and collect patient balances in the practice management system.
- Identify cases requiring authorization, compile medical records, and submit requests via portal or fax.
- Process payments and refunds and inform patients of overdue balances.
- Focus on account escalations, working large balances, and clearing payer blockers to ensure consistent cash flow.
- Review and complete auto-posted payments in the practice management system, ensuring SFTP remit files and EOBs are properly reconciled daily.
Requirements
- High school diploma or GED required; Associate or Bachelor’s degree in Healthcare Administration, Finance, or a related field preferred.
- Proven experience in Revenue Cycle Management (RCM), patient collections, or medical billing/coding, preferably supporting a specialized healthcare program.
- Skilled in using an Electronic Medical Record (EMR), practice management system, payer portals, and a comprehensive understanding of insurance verification and eligibility.
- Strong ability to perform root-cause analysis on denials and resolve complex billing discrepancies.
- Excellent professional communication skills for frequent interaction with insurance companies, patients, and internal provider teams.
- High level of professionalism, patience, and empathy when working with patients on sensitive financial issues.
- Ability to support occasional weekend coding tasks or approved overtime to meet critical submission deadlines.
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
billing managementduplicate claims reviewRemote Patient Monitoring (RPM)medical billingpatient collectionsroot-cause analysisbilling discrepancies resolutionpayment processingrefund processingaccount escalations
Soft Skills
professional communicationpatienceempathyproblem-solvingattention to detailorganizational skillsinterpersonal skillsadaptabilitytime managementcritical thinking
Certifications
High school diplomaGEDAssociate degree in Healthcare AdministrationBachelor’s degree in Healthcare AdministrationBachelor’s degree in Finance