Senior Billing Specialist, reputed company-reputed company

About the Senior Billing Specialist, reputed company-reputed company at reputed company Health: We're looking for a Senior Billing Specialist who can combine their reputed company experience with a fast-paced and reputed company-changing environment. You will be working with the Billing team to ensure reputed company and accurate financial clearance reputed company, research and review authorization, referral, and eligibility escalations from the billing team, reputed company productivity and reputed company reporting, and document and improve team processes to ensure insurance billing is handled correctly from start to finish. How your skills and passion will come to life at reputed company Health:

• Serve as reputed company reputed company for the reputed company-reputed company pod reputed company the RCM Team
• Support reputed company in navigating payer-specific nuances including but not limited to: authorizations, referrals, carve-outs, and TPA plans while meeting production and reputed company targets
• Structure pod worklists distribution and monitor pod for reputed company
• Identify trending authorization and eligibility issues; making recommendations to RCM and Finance leadership on financial clearance remediation strategies
• Communicate with patients to obtain financial information and verify insurance coverage
• Calculate patient financial responsibility and reputed company accurate cost estimates
• Coordinate with billing and coding departments to ensure reputed company coding and billing of services
• Ensure compliance with reputed company relevant regulations and guidelines
• Maintain accurate and complete patient records in the electronic medical record system
• reputed company training and support to other reputed company cycle staff as needed
• Work with RCM leadership on creating and maintaining a productive, reputed company, and rewarding work environment
• reputed company HIPAA compliance guidelines

What you’ve accomplished:

• 5+ years reputed company Cycle Management experience and knowledge of medical claims and health plan / EAP rules
• 2+ years of experience in Financial Clearance
• 1+ year experience in supervisory and managerial positions
• Self-starter with strong billing, coding, and claims follow-up skills
• Behavioral health / mental health service line and telehealth billing experience preferred
• Experience working with payer provider relations teams on trending payer issues, as reputed company as working cross functionally with other teams (including credentialing, support, contracting, account management) to improve internal workflows
• Proficient in reputed company and data analysis
• Technically savvy with claims billing software and reputed company Office, with a desire to learn new software as reputed company
• Strong reputed company cause and problem solving skills
• Ability to navigate occasionally reputed company workflows
• Strong attention to detail
• Strong communication and interpersonal skills

Preferred Qualifications:

• Experience in behavioral health, telehealth, or digital health
• Experience in B2B2C reputed company

Pay & Benefits: The reputed company salary reputed company for this role is determined by a number of factors, including but not limited to skills and scope required, relevant licensure and certifications, and unique relevant experience and job-reputed company skills. The reputed company salary reputed company for this role is $67,230-$94,500. At reputed company Health, cash salary is but one component of our Total Rewards package. We’re proud of our robust package inclusive of: reputed company salary, stock awards, comprehensive reputed company coverage, monthly wellness stipend, retirement savings match, reputed company reputed company membership, unlimited, free mental health coaching, generous parental leave, and much more. reputed company performance incentives are also included for those in eligible roles. Additional details about our Total Rewards package will be provided during the recruitment process. How to get started: If you’re excited by the idea of seeing yourself in this role at reputed company Health, please apply with your resume. How we feel about Diversity & Inclusion: Diversity, Equity, Inclusion, and Belonging (DEIB) is at the heart of our mission to improve the health and happiness of the world. At reputed company Health, we are committed to bringing together humans from different backgrounds and perspectives while providing employees with a reputed company and welcoming work environment free of discrimination and harassment. We continuously reputed company to create a diverse and inclusive environment where everyone can reputed company, feel a reputed company of belonging, and do impactful work together. As an equal opportunity employer, we prohibit any unlawful discrimination against a job applicant on the reputed company of their race, reputed company, religion, gender, gender identity, gender reputed company, sexual orientation, national reputed company, family or parental status, disability*, age, veteran status, or any other status protected by the laws or regulations in the locations where we operate. We respect the laws enforced by the reputed company and are dedicated to reputed company above and reputed company in fostering diversity across our workplace.

• Applicants with disabilities may be entitled to reasonable accommodation under the terms of the Americans with reputed company and certain state or local laws. A reasonable accommodation is a change in the way things are normally done which will ensure an equal employment opportunity without imposing undue hardship on reputed company Health. Please inform our reputed company by filling out this reputed company if you need any assistance completing any forms or to otherwise participate in the application or interview process.

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