Remote Billing Operations Specialist

Summary

Join Resilience Lab as a Billing Operations Specialist and contribute to delivering high-quality care experiences for clients while handling multiple responsibilities and tasks daily.

Requirements

• 2-3+ years Revenue Cycle Management experience
• Self-starter with strong billing, coding, insurance verification, and claims follow-up skills
• Behavioral health / mental health service line and telehealth billing experience preferred
• Experience communicating with payers to resolve issues
• Proficient with Excel and data analysis
• Ability to navigate occasionally complex workflows
• Strong attention to detail
• Strong communication and interpersonal skills

Responsibilities

• Review billing activity history and transaction records to answer client billing questions
• Work cross-functionally with clinicians when coding, billing, insurance verification, and general insurance questions arise
• Ensure timeliness of claim submissions
• Review claims to ensure payer requirements are satisfied
• Pull reports and analyze claims data to identify trends
• Support the Director of Revenue Cycle Management by resolving escalated disputes
• Recommend improvement measures to address trending billing issues
• Collaborate with other team members to resolve outstanding issues
• Assist with reconciliation projects, including reconciliation of payments between billing systems and payers
• Complete other assignments as requested and assigned