Billing Representative II

Billing Representative II - Monday to Friday, Between 7:30AM – 5:30PM Eastern

In an environment where the patient is at the center of everything that we do the individuals in this position typically works with Billing Representatives and other employees handling complex billing issues for the purpose of collecting revenue for the organization. Will work with Patient, Client and/or Third-Party insurance bills. 

Pay range: $17.25+ per hour

Salary offers are based on a wide range of factors including relevant skills, training, experience, education, and, where applicable, certifications obtained. Market and organizational factors are also considered. Successful candidates may be eligible to receive annual performance bonus compensation.

Benefits information:
We are proud to offer best-in-class benefits and programs to support employees and their families in living healthy, happy lives. Our pay and benefit plans have been designed to promote employee health in all respects – physical, financial, and developmental. Depending on whether it is a part-time or full-time position, some of the benefits offered may include:

• Day 1 Medical, supplemental health, dental & vision for FT employees who work 30+ hours
• Best-in-class well-being programs
• Annual, no-cost health assessment program Blueprint for Wellness®
• healthyMINDS mental health program
• Vacation and Health/Flex Time
• 6 Holidays plus 1 "MyDay" off
• FinFit financial coaching and services
• 401(k) pre-tax and/or Roth IRA with company match up to 5% after 12 months of service
• Employee stock purchase plan
• Life and disability insurance, plus buy-up option
• Flexible Spending Accounts
• Matching gifts program
• Education assistance through MyQuest for Education
• Career advancement opportunities
• and so much more!

• Responsible for managing Third – Party AR by analyzing denied and un-responded claims
• Outbound calls to insurance carriers to reconcile/resolve any issues
• Familiar with explanation of benefits
• Always maintain Compliance and HIPPA standard
• Meet or exceed daily production standards by maintaining work list according to metrics
• Meet or exceed daily quality standards
• Perform other duties and functions as assigned
• Process insurance/patient refunds and adjustments
• Evaluate and response to all email requests for any AR issues to resolve in a timely manner

Required Qualifications:

• High School Diploma / GED
• Must be 18 years of age OR older
• 1-2 years Medical Billing experience
• Ability to read and translate EOB and insurance correspondence
• Ability to create and modify spreadsheets within Microsoft Excel

Preferred Qualifications:

• Familiar with insurance appeals
• 1-2 years of QBS experience

Telecommuting Requirements:

• Required to have a dedicated work area established that is separated from other living areas and provides information privacy
• Ability to navigate on internet for research purposes
• Problem solving, organization and interpersonal skills
• Ability to work independently and as part of a team
• Communication skills, both verbal and written

Soft Skills:

• Ability to navigate on internet for research purposes
• Problem solving, organization and interpersonal skills
• Ability to work independently and as part of a team
• Communication skills, both verbal and written