Billing Specialist

Revology is a healthcare revenue cycle management firm that combines technology and human expertise to improve revenue cycle performance for hospitals, health systems, and physician groups. The company values diversity and inclusion, encouraging applicants from all backgrounds.

Location: Remote. Must work in a location within the United States.

Responsibilities

• Resolve and/or remedy claim errors, edits and rejections to ensure proper and timely submission to payers.
• Monitor assigned reports and worklists within the patient accounting system, clearinghouse, and/or payer portals, promptly identifying and resolving claim edits and rejections with accuracy and efficiency.
• Follow up with insurance companies regarding the status of outstanding claims and pursue appropriate steps for remedy.
• Review and respond to insurance correspondence as needed to ensure complete and accurate reimbursement.
• Identify and escalate trends to leadership to support process improvement, clean-claim performance, and optimize reimbursement.

Requirements

• 3+ years of healthcare billing and insurance experience required.
• Experience with claim clearinghouses (Waystar, Availity, Change Healthcare, etc.) highly preferred.
• Ability to work independently to accomplish goals in a dynamic environment.
• High school diploma or equivalent required; bachelor’s degree or equivalent experience preferred.
• An aptitude for problem-solving, patience and flexibility while working in the complex industry of healthcare revenue cycle.
• Excellent attention to detail.
• Ability to comfortably navigate a technology-focused setup to efficiently complete assigned work (multiple monitors + several applications open simultaneously).

Additional Information

• The Billing Specialist role is responsible for ensuring the accurate and timely submission of claims, with a focus on identifying, correcting, and preventing billing edits and claim rejections, as well as resolving insurance balances and ensuring accurate and prompt reimbursement.
• An effective Billing Specialist is a detail-oriented problem solver, and thrives in a dynamic, fast-paced environment.
• The statements in this job description reflect the general duties and are not all-inclusive. Individuals may perform other duties as assigned.
• Remote work requires high-speed internet of 40 Mbps or greater.
• Must be able to perform physical activities such as lifting or handling office equipment weighing 1 to 25 lbs., and sit for extended periods.
• Work is generally indoors in an office environment, maintaining a professional appearance.
• Candidates must be legally authorized to work in the United States without sponsorship.