Remote Billing Specialist

Responsibilities: Billing and management of claims for multiple programs and payers to achieve maximum reimbursementMaintain working knowledge of multi-state payer rules, including Medicaid/MCOs, commercial insurance, third-party liability, state contracts, grants, and inter-organizational billing requirementsEnsure claims are submitted timely and in compliance with payer requirements, reviews remittance advice to identify underpayments or discrepanciesReduce rejections and denials by scrubbing claims for timely and accurate submissionManages the resolution of insurance claim denials through detailed review, correction, and resubmission to optimize revenue recoveryCollaborates with internal teams to resolve billing issues and improve workflowsManages aging accounts by contacting commercial payers and state programs to ensure timely and accurate paymentMonitors aging reports to prioritize follow-up effortsIdentifies, verifies, and submits claims to secondary and tertiary insurance carriers to maximize reimbursementAccurately posts insurance and patient payments into Practice Management Systems (PMS) Prepares and maintains Excel worksheets, tracking tools, and ad hoc reports to support revenue cycle operationsPrepares, or assists in the preparation of, financial reports, analyses, and special projects as neededConducts follow-up with payers to resolve denials, rejections, and unpaid claimsMaintain and manage Billing workflows across assigned programs to ensure efficient and consistent operationsReviews accounts to determine if adjustments are necessaryMinimum Experience & Requirements: High School diploma or equivalentMinimum of two years of billing experience in a healthcare setting, behavioral health preferredMust be 21 years of ageMust have a valid Driver's LicenseMust pass a drug screen, MVR, and Child Abuse and Neglect Central Registry clearance checkLifting Requirements of 30-50 lbs