Medical Billing Specialist (Hospital Billing)

630 staff work in therapy, psychiatry, nursing, case management and peer support. Contracts with counties and the state fund much of the work. Evening appointments are part of the schedule, with a later start on those days.

The role

The Medical Billing Specialist (Hospital Billing) handles claims for a 30-provider multispecialty group billing Medicare, Medicaid and commercial payers. Contract role, full-time hours, paid in USD at the end of each month. Core hours are 9:00 AM to 1:00 PM US Eastern. Strong written English is important, since much of our work is async.

Your responsibilities

• Post payments, adjustments and ERAs and reconcile batches.
• Send patient statements and move accounts to collections per policy.
• Process refunds for overpayments and credit balances.
• Verify eligibility and coordination of benefits.
• Write appeal letters with supporting documentation from the chart.
• Run AR aging and denial reports and flag trends to the supervisor.
• Update payer enrollment and fee schedule issues with the credentialing team.

Required qualifications

• Knowledge of Medicare and Medicaid billing rules in Ohio.
• Familiarity with EOBs, ERAs and CARC/RARC codes.
• Experience with clearinghouses such as Availity, Waystar or Trizetto.
• Reliable internet and a quiet workspace for remote days.
• Steady with repetitive work and long phone holds with payers.

Rate: $21.00 to $25.50/hr

Benefits

• Annual rate review.
• Paid in USD.
• Flexible hours.

Joist Behavioral Health is an Equal Opportunity Employer, including disability and protected veteran status.

Duration: 3 months. Start: Flexible.

Demo job created on 11jobs for testing and demonstrations. It is not an actual opening at Joist Behavioral Health, Inc..