Hospital Billing Analyst, Epic
Healthlink Advisors
Billing Specialist
Woven Care
full-time
Posted on:
Location Type: Remote
Location: Remote • Alabama, Arizona, California, Colorado, Illinois, Kentucky, Maine, Mississippi, Montana, New Hampshire, New York, North Carolina, Oklahoma, Pennsylvania, Tennessee, Texas, Washington, Wisconsin • 🇺🇸 United States
Visit company websiteSalary
💰 $21 - $26 per hour
Job Level
JuniorMid-Level
About the role
- Timely, complete, and accurate initial submission of claims, follow-up, and re-submission of claims as necessary
- Own and nurture payor relationships, manage follow-up on special projects, and resubmission of denied claims
- Monitor and report on the aging of accounts receivable and reason codes for claim denials
- Investigate claim denials, identify reasons, and appeal or correct denied claims to ensure maximum reimbursement
- Collaborate with client intake, authorizations, and other internal stakeholders on billing functions and special projects
- Reconcile and distribute accurate and timely patient account statements
- Initiate collections activities for past due accounts and negotiate payment plans or arrangements
- Post collections to practice management software and process remittances from payors
- Recommend and implement process improvements for revenue cycle management, billing, payor relations, and compliance
- Maintain positive relationships with clients, clinicians, team members, and referral sources
- Communicate effectively with families on benefits and insurance costs
- Ensure compliance with healthcare regulations, coding guidelines, and insurance policies
- Supervise day-to-day activities, monitor efficiency and productivity, and provide training, coaching, and technical support
- Assist with planning and implementing quality assurance for all processes and conduct routine staff meetings regarding authorizations
Requirements
- Associate degree or qualified experience
- Two to four years of experience in healthcare billing/collections, pre-authorizations, and payment posting
- Experience in speech, occupational, and physical therapy preferred but not required
- Experience using Raintree EMR preferred but not required
- Strong computer and IT skills; ability to independently set up office equipment at a home workstation
- Strong proficiency with Microsoft Office (Word, Excel, PowerPoint, Outlook)
- Advanced level understanding of medical terminology and mathematics
- Clear written and verbal communication and strong interpersonal skills; comfortable with cold-calling and escalations
- Ability to work independently with minimal supervision and lead with a solution-oriented mindset
- Must live or plan to live in one of the following states: Alabama, Arizona, California, Colorado, Georgia, Illinois, Kentucky, Maine, Missouri, Mississippi, Montana, North Carolina, Nebraska, New Hampshire, New York, Oklahoma, Pennsylvania, Tennessee, Texas, Washington, Wisconsin
- Eligible to work in the U.S. (Woven Care uses e-Verify)
Benefits
- Remote work, Monday-Friday 8:00 am - 4:00 pm MST (40 hours/week)
- Fun work environment ("And yes, we have fun doing it.")
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
healthcare billingcollectionspre-authorizationspayment postingmedical terminologymathematicsrevenue cycle managementprocess improvementsclaim denials investigationappeals
Soft skills
clear communicationinterpersonal skillssolution-oriented mindsetindependent worktrainingcoachingnegotiationrelationship managementteam collaborationefficiency monitoring
Certifications
Associate degree
