Job Overview

The Billing and Coding Specialist will have strong attention to detail and analytical skills. The successful candidate will have a strong working knowledge of revenue cycle management and have a proven track record working in a healthcare practice environment in accounts receivable.

Schedule

• Monday - Friday, 9:00 AM - 5:00 PM California time, with 1 hour unpaid break (40 work hours per week)

Independent Contractor Perks

• Permanent work from home
• Immediate hiring
• Health Insurance Coverage for eligible locations 

Responsibilities

• Ensure that patients and insurance companies are properly billed for all services, and that payments are received and processed in a timely manner.
• Analyze excel spreadsheets and raw data.
• Denial management process.
• Telephone insurance carrier/patient to seek resolution on accounts.
• Resolve inappropriate payments with insurance carriers that are not in compliance with payer contracts or governmental agency rates on individual accounts.
• Utilize specialized knowledge of contracts, regulatory or contractual billings guidelines to determine an account’s ability to pay after initial rejection from the payer.
• Coordinate duplicate billings, coordination of benefits, medical records or clinical documents as needed to expedite payment of insurance claims.
• Identify trends in payer non-compliance and inform management if not able to resolve with payer.
• Negotiate within specified guidelines with payers.
• Ensure secondary carrier is appropriately billed or self-pay portion is pursued.
• Follow up with appropriate staff to locate missing information.
• Ensure accurate and timely billing of all outstanding account balances to the appropriate third-party payers and patient guarantors.
• Maintain necessary logs.
• Participate in departmental meetings as necessary.

Requirements

• MUST HAVE A WINDOWS OS COMPUTER
• Proven experience as a Medical Billing Specialist.
• Knowledge of insurance policies, including HMO/PPO, Medicare, Medicaid, and other payer requirements and systems.
• Familiarity with medical terminology and experience with healthcare billing.
• Proficiency in medical billing software.
• Strong attention to detail and commitment to accuracy.
• Excellent communication and problem-solving skills.
• High school diploma; certification in medical billing or a related field is a plus.

Side Note

This is a permanent work-from-home role under an Independent Contractor arrangement. Candidates must have their own computer and reliable internet connection, and are responsible for their own taxes and benefits. Professional hourly fees are established based on your performance in the application process.

Reminder

Please follow the provided link to BruntWork’s Career Site to finish your initial application requirements, including the assessment questions, technical check, and voice recording. Submissions with all requirements fulfilled will receive priority review.