Contract Billing Specialist

Claims Management:

• Expertise in Athena platform to accurately troubleshoot claims for telehealth services provided to patients.
• Compliance with internal coding guidelines, payer requirements, and regulatory standards.
• Participate in regular audits and reviews of billing data and documentation to identify discrepancies.

Patient Interaction:

• Collaborate with the clinical team to provide patients with insurance coverage, eligibility, and benefits prior to telehealth appointments.
• Assist patients with understanding their financial responsibilities and options for payment.

Revenue Cycle Management:

• Manage and collect patients accounts receivable (AR) and follow up on outstanding balances, denials, and insurance claims.
• Collaborate with external stakeholders to resolve billing and coding disputes.
• Monitor and adhere to key performance indicators (KPIs) and internal metrics related to billing and revenue cycle management.