Littlespurspedi
Billing Specialist (REMOTE) - (Texas ONLY)
Littlespurspedi, Granite Heights, Wisconsin, United States
Billing Specialist (REMOTE) - (Texas ONLY)
Little Spurs Pediatric Urgent Care Centers is seeking an experienced biller to join our dynamic team. Under general direction, the billing specialist will exercise independent judgement while adhering to established policies and procedures, regulations, and best practices.
Status: Full-time, non-exempt
Location: 100% Remote - (Texas ONLY)
Qualifications
High school diploma or equivalent required; Associates or bachelor’s degree in Finance, Accounting, Business Administration, or related field preferred
3+ years of billing and coding experience in the healthcare field required; to include urgent care, ABA therapy or similar services
Must possess in-depth knowledge of medical billing; experience with pediatric billing preferred
Experience with robust practice management/EMR system, preferably eMDs and Waystar
Benefits
Medical, Dental & Vision Benefits available employee, spouse, and dependents
Voluntary Short‑Term & Long‑Term Disability & Voluntary Life Insurance (Employee, Spouse, Children)
401(k) with 4% company match on 5% employee contribution
Holiday pay (Closed Thanksgiving and Christmas); shorter holiday hours
80 hours of PTO accumulated through the year; available for rollover
More PTO accrued after three and five years of service
Free in‑house medical care for employee and dependent children
Employee recognition and appreciation programs
Professional Development Opportunities
Required Skills and Abilities
Comprehensive knowledge of coding, billing, processes and requirements
Knowledge of local payers, to include billing and claims resolution processes
Knowledge in physician practice technology as it relates to creating, transmitting and collecting claims
Knowledge of physiology, anatomy, neurology and medical terminology
Ability to communicate clearly both written and verbally
Ability to work independently with detail and accuracy
Excellent interpersonal communication skills
Ability to act with discretion, tact, and professionalism in all situations
Ability to work in a remote or hybrid work environment
Ability to work well within a team dynamic
Proficiency in Microsoft Office Suite (Word, Excel, Outlook, PowerPoint)
Ability to use a fax machine, copier and a scanner
Must have a passion for Revenue Cycle and a positive mindset
Bilingual a plus!
We use E‑Verify
Essential Duties and Responsibilities
Performs all necessary tasks to provide overall direction and support in billing, accounts receivable and related areas
Responsible for managing the charge capture, coding, billing and billing edits
Responsible for coordinating with providers and Regional Medical Directors to create efficient, accurate templates and automated charging/billing processes
Analyze trends, impacting charges, coding, and collections and take appropriate action to realign staff and revise policies
Analyze billing and claims for accuracy and completeness and submit claims to proper insurance entities and follow up on any issues
Ensures that the correct coding and compliance guidelines are being adhered to
Maintains systems, policies & procedures to ensure compliance with all contractual obligations of payers
Responsible for monitoring reimbursements
Responsible for staying familiar with federal and state regulations and company policies
Effectively communicates to employees and holds yourself accountable for meeting those same expectations
Assists with staff communication providing updates, resolving issues, setting goals and maintaining standards
Assists with work allocation and problem resolution
Assists with month end reports
Performs other related duties as assigned
Your Day to Day
Performs appropriate billing/payment posting functions as assigned
Follows up on unpaid or improperly paid claims as necessary
Reviews and monitors select accounts within the accounts receivable system
Determines and performs appropriate collection efforts to resolve accounts, to include follow‑up online, by phone and written correspondence
Effectively applies protocol in company EMR: Invoice Balance Responsibility / Applies Invoice Status correctly
Builds claims and applies knowledge of medical terminology, ICD/CPT codes to complete daily tasks
Corrects denied submissions and denied claims in a timely manner and notes invoice accordingly
Submits claims electronically and by paper
Assists with telephone inquiries and billing questions promptly, with professionalism and courtesy
Generates and reviews patient statements effectively and ensures appropriate collection correspondence is sent and documented per protocol
We offer competitive benefits which include: Medical, Dental, Vision, Life, Disability, PTO, Holiday Pay and Retirement Savings Account (401(k)).
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Status: Full-time, non-exempt
Location: 100% Remote - (Texas ONLY)
Qualifications
High school diploma or equivalent required; Associates or bachelor’s degree in Finance, Accounting, Business Administration, or related field preferred
3+ years of billing and coding experience in the healthcare field required; to include urgent care, ABA therapy or similar services
Must possess in-depth knowledge of medical billing; experience with pediatric billing preferred
Experience with robust practice management/EMR system, preferably eMDs and Waystar
Benefits
Medical, Dental & Vision Benefits available employee, spouse, and dependents
Voluntary Short‑Term & Long‑Term Disability & Voluntary Life Insurance (Employee, Spouse, Children)
401(k) with 4% company match on 5% employee contribution
Holiday pay (Closed Thanksgiving and Christmas); shorter holiday hours
80 hours of PTO accumulated through the year; available for rollover
More PTO accrued after three and five years of service
Free in‑house medical care for employee and dependent children
Employee recognition and appreciation programs
Professional Development Opportunities
Required Skills and Abilities
Comprehensive knowledge of coding, billing, processes and requirements
Knowledge of local payers, to include billing and claims resolution processes
Knowledge in physician practice technology as it relates to creating, transmitting and collecting claims
Knowledge of physiology, anatomy, neurology and medical terminology
Ability to communicate clearly both written and verbally
Ability to work independently with detail and accuracy
Excellent interpersonal communication skills
Ability to act with discretion, tact, and professionalism in all situations
Ability to work in a remote or hybrid work environment
Ability to work well within a team dynamic
Proficiency in Microsoft Office Suite (Word, Excel, Outlook, PowerPoint)
Ability to use a fax machine, copier and a scanner
Must have a passion for Revenue Cycle and a positive mindset
Bilingual a plus!
We use E‑Verify
Essential Duties and Responsibilities
Performs all necessary tasks to provide overall direction and support in billing, accounts receivable and related areas
Responsible for managing the charge capture, coding, billing and billing edits
Responsible for coordinating with providers and Regional Medical Directors to create efficient, accurate templates and automated charging/billing processes
Analyze trends, impacting charges, coding, and collections and take appropriate action to realign staff and revise policies
Analyze billing and claims for accuracy and completeness and submit claims to proper insurance entities and follow up on any issues
Ensures that the correct coding and compliance guidelines are being adhered to
Maintains systems, policies & procedures to ensure compliance with all contractual obligations of payers
Responsible for monitoring reimbursements
Responsible for staying familiar with federal and state regulations and company policies
Effectively communicates to employees and holds yourself accountable for meeting those same expectations
Assists with staff communication providing updates, resolving issues, setting goals and maintaining standards
Assists with work allocation and problem resolution
Assists with month end reports
Performs other related duties as assigned
Your Day to Day
Performs appropriate billing/payment posting functions as assigned
Follows up on unpaid or improperly paid claims as necessary
Reviews and monitors select accounts within the accounts receivable system
Determines and performs appropriate collection efforts to resolve accounts, to include follow‑up online, by phone and written correspondence
Effectively applies protocol in company EMR: Invoice Balance Responsibility / Applies Invoice Status correctly
Builds claims and applies knowledge of medical terminology, ICD/CPT codes to complete daily tasks
Corrects denied submissions and denied claims in a timely manner and notes invoice accordingly
Submits claims electronically and by paper
Assists with telephone inquiries and billing questions promptly, with professionalism and courtesy
Generates and reviews patient statements effectively and ensures appropriate collection correspondence is sent and documented per protocol
We offer competitive benefits which include: Medical, Dental, Vision, Life, Disability, PTO, Holiday Pay and Retirement Savings Account (401(k)).
#J-18808-Ljbffr