Collections and Billing Analyst
Calabrio, Inc.
SFDC
Salary
💰 $19 - $25 per hour
Job Level
JuniorMid-Level
About the role
- The Medical Billing Specialist supports daily billing operations to ensure accurate and timely claim submission, payment posting, and resolution of rejections or denials.
- This role focuses on managing claim volume in Athena and ensuring compliance with payer requirements and healthcare regulations.
- This role also serves as a primary point of contact for patients and caregivers, handling billing-related inquiries via phone or email, providing clear and professional support.
- Submit and manage claims in Athena, ensuring accuracy and completeness prior to submission.
- Verify and enter charges accurately; review prior-day submissions to identify and correct any rejections promptly.
- Apply CPT and ICD-10 coding standards when processing claims.
- Serve as a first point of contact for patients or caregivers with billing questions via phone or email; resolve inquiries professionally and empathetically.
- Communicate with clinical and administrative teams to gather any missing or corrected information needed for claims.
- Post payments and reconcile accounts as assigned.
- Monitor claim status and follow up with payers to ensure prompt payment.
- Maintain compliance with HIPAA and healthcare billing regulations.
Requirements
- 2+ years of experience in medical billing or revenue cycle operations.
- Familiarity with Athena billing and EHR platform is strongly preferred.
- Strong understanding of billing practices, particularly for mental health or dementia care services.
- Knowledge of Medicare, Medicaid, and commercial payer billing requirements.
- Knowledge of CPT and ICD-10 coding standards.
- Demonstrated ability to research and resolve claim denials.
- Comfortable working in a high-volume, detail-driven environment.
- Excellent communication and organizational skills.
- Ability to handle sensitive patient information confidentially and in compliance with HIPAA.
