Address
Form of work
SalaryMedical Billing Specialist
As a Medical Billing Specialist, you will play a vital role in ensuring accurate and efficient claims processing for our healthcare providers. You will be responsible for a wide range of tasks related to the management of denied claims, identifying billing trends, and reporting issues to management. Your attention to detail, problem-solving skills, and ability to work collaboratively with the team will be crucial to the success of our revenue cycle management.
Responsibilities:
Claims Resolution:
Accounts Receivable management, which includes applying and posting claim payments, accurately applying adjustments and managing next claim action for complete reconciliation.
Investigate, review, and resolve denied claims promptly by rebilling, appealing, or correcting as necessary to maximize reimbursement.
Correct any eligibility issues identified in claim denials to ensure accurate billing and reimbursement.
Billing Trends
Monitor and identify billing and denial trends, and provide regular reports to management with recommendations for process improvement.
Reporting
Document and report any billing issues, inconsistencies, and potential areas for process enhancement to the management team.
Meetings
Attend regular 1:1 meetings with management to discuss progress, provide updates, and seek guidance on complex claims.
Participate in team meetings to exchange insights, best practices, and collaborate on problem-solving.
Adherence to Policies
Follow all established procedures, policies, and guidelines to ensure consistency and compliance in claims management.
Qualifications:
● High school diploma or GED, required
● Bachelor's degree in healthcare administration, business, or related field (preferred but not required).
● Proven experience in healthcare claims management or revenue cycle management.
● Strong knowledge of healthcare billing and coding processes.
● Excellent analytical and problem-solving skills.
● Ability to work independently and as part of a team.
● Strong communication skills, both written and verbal.
● Proficient with relevant software and tools for claims management.
● Attention to detail and ability to manage multiple tasks concurrently.
● Knowledge of healthcare compliance regulations (HIPAA, etc.).
● Willingness to adapt and learn in a dynamic healthcare environment.
Working Conditions:
Position is completely remote with frequent use of computers.
May require occasional interaction with providers, team members, and management to assist with eligibility-related inquiries.
Company Culture:
TLOCK Solutions is committed to providing accessible and affordable healthcare services. We value employees who are dedicated to helping patients navigate the complexities of healthcare coverage and ensure that they receive the care they need. We encourage a collaborative and supportive work environment.
Job Type: Part-time
Pay: $15.00 - $18.00 per hour
Expected hours: 10 per week
Schedule:
- Day shift
Work setting:
- Remote
Work Location: Remote
