Insurance and Billing Specialist
RightSite Health
full-time
Posted on:
Location Type: Remote
Location: United States
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About the role
- Verify insurance coverage and ensure accurate loading of insurance information for billing purposes
- Submit claims to our billing partner
- Create invoices for case rates and other billing scenarios as needed
- Perform front-end edits on patient demographics, correcting information such as date of birth, addresses, and member IDs
- Conduct claim audits and reconciliations to ensure all services are accounted for and billed correctly
- Research uninsured and unknown insurance cases to identify potential coverage
- Assist in the implementation and testing of billing automation processes
- Perform ongoing audits of billing automations to ensure accuracy and efficiency
- Serve as a liaison with Operations, identifying opportunities for improvement in front-end data collection
- Serve as a SME (Subject Matter Expert) for Navigators on insurance-related questions
Requirements
- Bachelor’s degree in healthcare administration, business, or related field or equivalent experience
- Minimum 2 years of experience in medical billing and insurance verification
- Proficiency in medical billing software
- Strong knowledge of CPT and ICD-10 coding
- Familiarity with HIPAA regulations and privacy standards
Benefits
- The opportunity to be a part of a dynamic, mission-driven organization
- Competitive base salary
- Market-competitive healthcare coverage, including medical, dental, vision, life, and disability
- The opportunity to work alongside talented and professional colleagues with the ability to grow
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
medical billinginsurance verificationCPT codingICD-10 codingbilling automationclaim auditsdata reconciliationinvoice creationfront-end data collectioninsurance research
Soft Skills
communicationproblem-solvingattention to detailorganizational skillscollaborationanalytical skillscustomer servicetime managementadaptabilityleadership
Certifications
Bachelor’s degree in healthcare administrationBachelor’s degree in businessmedical billing certificationinsurance verification certificationCPT coding certificationICD-10 coding certificationHIPAA compliance trainingCertified Professional Coder (CPC)Certified Billing and Coding Specialist (CBCS)Certified Healthcare Financial Professional (CHFP)