Billing Specialist 2
Gateway Rehab
full-time
Posted on:
Location Type: Remote
Location: Remote • Pennsylvania • 🇺🇸 United States
Visit company websiteJob Level
Mid-LevelSenior
About the role
- Processes, edits, audits and posts service entries into the EHR.
- Generates clean claims, invoices and patient bills for services provided to all patients based on third party payer criteria.
- Monitors and collects outstanding accounts receivable and performs investigation and follow-up on open balances.
- Reviews Explanation of Benefits/Remittance Advices for correct payment, copays, deductibles and denials.
- Tracks, analyzes, and reports monthly to director regarding composition of outstanding accounts receivable, determining collectability and internal and external issues concerning receipt of payment.
- Participates in the monthly closings and provides data and analysis for all payers.
- Communicates with the utilization review department regarding authorizations issues and inquires.
- Completes necessary processes for adjustments, write-offs, charity care and refunds.
- Contacts Patient Benefit Coordinators, outpatient administrative support staff, therapists, and insurance companies for problem resolution with funding sources or patient services.
- Maintains interdepartmental reports for patient accounts and collections.
- Communicate with third party Collection Management Company and patients concerning self-pay balances or billing issues.
- Assists in the FY audits.
- Communicates with the Medical Records department for applicable data required for patient appeals and denials.
- Works on special projects as needed.
- Attends mandatory Gateway training and in-services.
Requirements
- High School diploma or equivalent required.
- At least three years of billing experience in a healthcare setting.
- Pass a PA Criminal Background Check.
- Obtain PA Child Abuse and FBI Fingerprinting Clearances.
- Pass Drug Screen.
- 2-Step TB Test.
Benefits
- Favorable working conditions.
- Work from home.
- Minimal physical demands.
- Significant mental demands include routine decision making, continuous attention to detail and high mental and visual concentration.
- Accuracy is critical in this position as errors may result in serious loss of revenue and delay of payments.
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
EHR processingclaims generationaccounts receivable managementpayment auditingdata analysisbilling adjustmentsproblem resolutionfinancial reportingpatient billingutilization review communication
Soft skills
communicationinvestigative skillsorganizational skillsattention to detailcollaborationproblem-solvinganalytical thinkinginterpersonal skillsadaptabilitytime management
Certifications
High School diplomaPA Criminal Background CheckPA Child Abuse ClearanceFBI Fingerprinting ClearanceDrug Screen2-Step TB Test