Billing Specialist needed at Within Health

Within is currently on the lookout for a competent individual to fill the role of a Billing Specialist. Qualified individuals are hereby encouraged to apply.

Within is a revolutionary way for the millions of people who suffer from eating disorders to receive clinically superior continuous care attuned to their needs. Whoever they are, wherever they live, and whatever form their eating disorder takes. Built to work where real life happens, Within treatment is accessible wherever you are, whenever you need.

The mission of Within is: To increase access, improve outcomes and promote healing for tens of millions of Americans, ensuring that everybody in everybody, regardless of background or economic standing, has access to quality eating disorder care. Within Health is a Virtual company for eating disorders. As this company was started in 2021, we are looking for a quality team member to join our Revenue Cycle team.

Position

Billing Specialist

Salary

$50,000 annually

Job Schedule

Full Time

Location

Remote

About the Role

The Billing Specialists primary responsibility is to oversee the billing process for clients. Ensure timely and accurate submission and processing of client invoices and insurance claims. The Billing Specialist will also research and resolve all provider and client inquiries in a timely and customer-focused manner.

Responsibilities

The primary function is to take ownership of the error free completion of the entire weekly bill cycle to include:
Checking eligibility and benefit verification for services provided as needed
Conduct client and guarantor welcome orientations on the insurance/private pay/balance billing process
Maintain communication with clients on the billing process, status of their claims
Manage the status of client accounts and balances and identify inconsistencies
Create, send and collect on bi-weekly invoices for balance billing and SCA, private pay clients
Follow up, collect, charge and post large client balances
Professionally answer and respond to calls, and emails from patients, payers, and other team members re: claims, balances, eligibility, etc., promptly.
Accurately prepare, review, and submit claims within timely filing to various insurance companies electronically, or in some case via paper using correct revenue, HCPCS, CPT and ICD10 codes
Post insurance and patient payments from ERAs or EOBs within a timely matter.
Follow-up on open, denied, underpaid, overpaid and non-paid claims and re-submit, send back, appeal as needed
Write, compile medical records, etc. for appeals, retrospective reviews, authorizations as needed; and follow up accordingly.
Collaborate with clients and insurance companies, team members to resolve billing inconsistencies and errors.
Review patient accounts for trends that indicate where additional assistance might be needed.
Constructively handle patient complaints and report to your supervisor immediately.
Support billing team as needed when individual tasks are completed, or if help needed to complete a project.
Monitor your daily, weekly performance and submit daily delegations to billing manager.
Plan, organize, direct and control to meet all billing objectives.
Maintain and track your personal calendar, calls, and deadlines.
Motivate yourself to perform well.
Communicate potential opportunities for optimization.
Constantly strive toward continuing professional growth
Accurate and timely processing of all adjustments (debits and credits), initiated by either external (client-related) or internal (Shared Services) requests
Timely research and resolution of all billing inquiries to the assigned mailboxes utilizing the highest level of customer service

Requirements

Qualification

High school diploma or equivalent require, some college preferred
3 years experience in billing, preferably in the Staffing or Medical field
3-5 years of demonstrated analytical sense with excellent attention to detail
Medical billing experience, specifically insurance company follow up and balance billing
Understanding of billing on UB-04 forms and revenue, CPT, HCPCS, ICD10 codes
Compliance of HIPAA, understanding of medical terminology
Strong attention to detail and efficient data entry
Strong organization, time management and prioritization abilities
Excellent communication and Customer Service skills
Strong computer skills, including knowledge of EMRs, PM systems, and Microsoft Office suite.

Physical and Environmental Requirements:

Employees are required to read, review, prepare and analyze written data and figures, using a computer or similar, and should possess visual acuity.
This position answers and places telephone calls as well as video conferences and must be able to converse
Must be able to converse with colleagues via telephone and computer programs.
Must be able to operate a computer and navigate applications within a smart-phone, iPhone, MacBook computer and/or tablet.
Able to sit for the majority of shifts.
Must have reliable internet connection.
This is a work-from-home position. Work should be performed in a private, quiet space with minimal background noise.
Ability to prioritize workload and work independently