RightSite Health
RightSite Health reduces avoidable ED visits.
Insurance and Billing Specialist
Billing SpecialistBilling SpecialistFull TimeRemoteMid LevelTeam 11-50H1B No SponsorCompany SiteLinkedIn
Location
United States
Posted
30 days ago
Salary
Not specified
Seniority
Mid Level
Bachelor Degree2 yrs expEnglish
Job Description
• Verify insurance coverage and ensure accurate loading of insurance information for billing purposes
• Submit claims to our billing partner
• Create invoices for case rates and other billing scenarios as needed
• Perform front-end edits on patient demographics, correcting information such as date of birth, addresses, and member IDs
• Conduct claim audits and reconciliations to ensure all services are accounted for and billed correctly
• Research uninsured and unknown insurance cases to identify potential coverage
• Assist in the implementation and testing of billing automation processes
• Perform ongoing audits of billing automations to ensure accuracy and efficiency
• Serve as a liaison with Operations, identifying opportunities for improvement in front-end data collection
• Serve as a SME (Subject Matter Expert) for Navigators on insurance-related questions
Job Requirements
- Bachelor’s degree in healthcare administration, business, or related field or equivalent experience
- Minimum 2 years of experience in medical billing and insurance verification
- Proficiency in medical billing software
- Strong knowledge of CPT and ICD-10 coding
- Familiarity with HIPAA regulations and privacy standards
Benefits
- The opportunity to be a part of a dynamic, mission-driven organization
- Competitive base salary
- Market-competitive healthcare coverage, including medical, dental, vision, life, and disability
- The opportunity to work alongside talented and professional colleagues with the ability to grow
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