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US

  • Responsible for complete, accurate, and timely processing of all designated claims.
  • Investigates denial sources, resolves and appeals denials, which may include contacting payer representatives.
  • Works with internal teams and care center staff to ensure optimal revenue cycle functionality.

Medical Billing Microsoft Excel Google Sheets Revenue Cycle

17 jobs similar to Claims Billing Specialist

Jobs ranked by similarity.

US

  • Resolve aged claims and appeals via payer portals & outbound phone calls.
  • Prioritize assigned work queue to ensure timely work is balanced with working the most payable claims.
  • Work professionally with Revenue Cycle teammates to be responsive to requests that require your assistance.

CareDx, Inc. is focused on providing healthcare solutions for transplant patients and caregivers. They are the leading provider of genomics-based information for transplant patients.

US

  • Accurately review denied claims to identify root causes.
  • Communicate directly with insurance representatives to negotiate settlements.
  • Monitor denial trends and provide actionable feedback to billing and clinical teams.

Mindoula is a healthcare organization. They are seeking an Account Receivable Representative and value candidates with strong communication and problem-solving skills.

US

  • Maintains the practice management system by entering accurate data, verifying and updating insurance and claims information, handles carrier correspondence, manages EOBs, and keys payments received into the system.
  • Prepares, reviews, submits, and follows up with clean claims to various companies/individuals.
  • Collects, posts, and manages patient account payments.

US Anesthesia Partners provides comprehensive anesthesia care. They are committed to clinical excellence and outstanding patient experience.

$55,000–$55,000/yr
US

  • Submitting clean claims efficiently and accurately for your assigned clinics
  • Following up on denials and rejections with urgency and clarity
  • Posting payments, reconciling accounts, and communicating proactively with clinics

Jane is a founder-led, high-growth SaaS company. They build products and tools that thousands of clinics rely on every day to run their businesses, care for their patients, and grow their communities, with over 700 employees working remotely across Canada, the US, and the UK.

$115,000–$130,000/yr
US Unlimited PTO

  • Lead a team of professionals across billing, collections, and denials management.
  • Build SOPs and scalable processes to ensure consistent and high-quality execution.
  • Create feedback loops to identify pain points and implement improvements across billing workflows.

Allara is a comprehensive women’s health provider that specializes in expert, longitudinal care that supports women through every life stage. As one of the fastest-growing women’s health platforms in the U.S., Allara is bridging long-overlooked gaps in healthcare for women.

$60,000–$65,000/yr
US

  • Auditing to ensure new provider and care center information is accurate.
  • Conducting Care Center audits based on the number of providers.
  • Identifying, monitoring, and managing denial management trends.

Privia Health is a technology-driven, national physician enablement company. They collaborate with medical groups, health plans, and health systems to optimize physician practices and improve patient experiences. Their platform is led by industry talent and cloud-based technology.

$80,000–$80,000/yr

  • Lead and operationalize the end-to-end revenue cycle across a multi-state behavioral health organization.
  • Manage a team of 3–4 billing specialists and take full ownership of billing operations.
  • Strengthen billing infrastructure, improve collections performance, and accelerate cash flow.

Backpack Medical Group is dedicated to providing mission-driven care by focusing on behavioral health services. They aim to support underserved Medicaid populations with a strong emphasis on diversity and employee wellbeing within their team.

US

  • Perform pre-call analysis and check the status by calling the payer or using IVR or web portal services.
  • Maintain adequate documentation on the client software to send the necessary documentation to insurance companies and maintain a clear audit trail for future reference.
  • Record after-call actions and perform post-call analysis for the claim follow-up.

TruBridge connects providers, patients, and communities with innovative solutions that create real value by supporting both the financial and clinical sides of healthcare delivery. They are a remote team that encourages their employees to push boundaries and look at things differently.

US

  • Maintain a working knowledge and understanding of DMEOPS CPT and ICD-10 codes.
  • Utilize the company billing and collections system to identify and resolve any claims that have been unpaid, short paid and/or denied.
  • Review EOB's and other correspondence from insurance companies for correct reimbursement according to rules and regulations and contract terms.

Hanger, Inc. is the world's premier provider of orthotic and prosthetic (O&P) services and products, offering the most advanced O&P solutions, clinically differentiated programs and unsurpassed customer service. They have 160 years of clinical excellence and innovation, and its vision is to lead the orthotic and prosthetic markets by providing superior patient care, outcomes, services and value.

US

  • Investigate billing concerns, working closely with patients and insurance providers.
  • Improve the patient experience while strengthening billing processes.
  • Resolve complex billing issues to ensure timely, accurate resolutions.

Rula is dedicated to treating the whole person and aims to create a world where mental health is no longer stigmatized. They are a remote-first company that strives to be a force for positive change in the field of mental healthcare.

$65,000–$105,000/yr
US

  • Responsible for answering phone calls and emails in a timely manner, professionally answering questions from clients, insurances, or patients.
  • Review patient documentation for accuracy and qualification, manage shipments by sending sales orders, and review sales orders for accuracy after shipment completion.
  • Create claims and/or invoices confirming sales orders, billing electronically or via paper, and monitor the patient billing module, updating information as needed.

Cala Health strives to free individuals from chronic diseases, starting with a non-invasive prescription therapy for hand tremor and expanding into neurology and cardiology. They empower thousands to regain confidence and ease in their lives by applying pioneering technology and offer a comprehensive benefits package aligned with their compensation philosophy.

US

  • Under the direction of the Patient Accounts Manager, the Patient Accounts Specialist is involved in medical billing and follow-up.
  • Participates in training and auditing of Patient Account Representatives.
  • Identifies delinquent accounts to expedite resolution.

Kettering Health is a not-for-profit system of 13 medical centers and more than 120 outpatient facilities serving southwest Ohio. They are committed to transforming the health care experience with high-quality care for every stage of life.

US

  • Performs daily billing functions for assigned Accounts Receivable claims to ensure claims resolutions within set deadlines.
  • Sends out daily appeals to insurance companies for denied claims to maintain consistent cash flow of assigned A/R.
  • Resolves incoming correspondence or telephone inquiries in a timely manner in accordance with payer deadlines.

CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation’s largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually, employing over 157,000 employees across 24 states.

$60,000–$65,000/yr

  • Lead pre-live and post-live athenaOne Collector/billing training to providers, administrative and billing staff in all markets
  • Innovate and create new learning experiences for Care Centers for Privia University (LMS).
  • Provide excellent customer service through creative problem solving and follow through

Privia Health is a technology-driven, national physician enablement company that collaborates with medical groups, health plans, and health systems to optimize physician practices, improve patient experiences, and reward doctors for delivering high-value care. They are led by top industry talent and exceptional physician leadership.

$160,000–$190,000/yr
US

  • Develop operational processes that align with revenue cycle management best practices aiming to maximize reimbursement
  • Lead a team of managers and individual contributors that will own various claim edit, general follow-up, and denial management tasks with various payers
  • Identify trends in payer behavior and surface them for leadership review

BetterHelp's mission is to remove traditional barriers to therapy and make mental health care more accessible. Founded in 2013, they are the world’s largest online therapy service with over 30,000 licensed therapists.

$80,000–$85,000/yr
US

  • Perform monthly billing operations including claims reconciliation and revenue review.
  • Contribute to the revenue cycle process, including claims submission and payment posting.
  • Collaborate with Sales, Product, Data, and Client Success teams on issue resolution.

Vida Health is a virtual, personalized obesity care provider. Vida's team of Obesity Medicine-Certified Physicians helps people lose weight, reduce stress and improve their overall health, and is trusted by Fortune 100 companies.

US

  • Perform in-depth medical claim reviews using UB-04 and itemized statements.
  • Verify itemized charge accuracy based on policy and industry standards.
  • Validate system denials and suggest system enhancements for efficiency.

Machinify is a healthcare intelligence company that delivers value, transparency, and efficiency to health plan clients. They bring together an AI-powered platform, are deployed by over 85 health plans, and represent more than 270 million lives.