Billing Support Specialist

Job Overview

JOB DETAILS

REQUIREMENTS

• High school diploma or equivalent combination of years of experience

• Two years of customer service experience.

• One year experience in the medical billing field (charge entry, payment posting, claims, etc.).

• Experience in Microsoft Office, Microsoft Word, and Microsoft Excel.

• Practices active listening and clear communication to understand and help resolve basic issues effectively.

• Uses basic de-escalation and conflict resolution strategies to handle routine customer or team concerns calmly and professionally

RESPONSIBILITIES

• Build, Maintain, and Manage a strong, long-standing relationship with Experity’s RCM clients.

• Meet with client management on a regular basis and build relationships at multiple levels. Communication cadence to include, at minimum, monthly business reviews and annual on-site leadership meetings as deemed necessary based on the size and needs of the client.

• Interpret and provide analysis of clinic financial data through key reports and revenue cycle drivers.

• Participate in a monthly meeting to review accounts receivable status, KPI and accounting reports with client’s financial team.

• Manage and communicate findings effectively with assigned clinics and their management staff to achieve optimum performance.

• Proactively identify trends and perform root cause analysis related to carrier issues impacting billing and reimbursements. Report findings effectively directly to client contacts.

• Manage queue of open inquiries from clients and provide resolution within benchmark timelines.

• Responsible for ensuring service level commitments are met for each client. Coordinate and hold accountable internal service teams as necessary to ensure the successful delivery of our products and services.

• Responsible for timely provider set-ups, including loading provider numbers. Includes releasing claims as appropriate and notifying Experity to proceed with claims agreement (tracking until resolved).

• Maintaining various client spreadsheets.

• Email RCM teams to notify them of contract updates, termed providers, and new providers.

• Create new provider setups in the PM.

• Complete mass release/resends of claims.

• Assist with obtaining ERA agreements.

• Set up ERA/EDI for new clients.

• Send E-prescribe set-up requests to customer support.

• Act as liaison for internal and external communications with assigned clients.

• Work and resolve Billing Support tickets within Salesforce.

• Route emails/tickets to appropriate departments.

• Create and maintain managed care features in the PM.

• Review charges on hold and release claims as appropriate.

• Resolve client and internal billing support inquiries within two business days.

• Complete RCM decommission tasks for terminating clients.

• Escalate provider/payer issues to contracting and credentialing.

• Track, review, & report on C&C issues and claims totals.

• Other duties as assigned.

Are you interested in this position?

Apply by clicking on the “Apply Now” button below!

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