Billing Associate II
Overview
Schedule: Mon-Fri 9am-5pm Salary: $25.00-$26.50 / hour (DOE) The Reimbursement & Billing Specialist is coordinates the analysis and effective resolution of denied claims with the purpose of reducing overall denials and increasing revenue. The Reimbursement & Billing Specialist is responsible for prioritizing and managing to resolution denied claims with government and third party payers. Responsibilities include:- Interpreting payment and denial data down to the line item detail
- identifying payer and coding trends, risks, and opportunities, and to implement operational and/or systematic improvements.
- Researches, develops, and maintains a solid understanding of payer requirements, including filing limit, claim processing logic, coordination of benefits requirements, patient responsibility and authorization requirements.
- Triages denied claims to identify appropriate action to ensure timely processing and payment.
- Performs ongoing analysis to determine the root cause of denials and proactively alert management to issues and trends.
- Proactively makes recommendations for workflow, operational, and/or systemic changes to reduce denials and speed up collections.
- Assists in developing and modifying tracking and reporting process for denials, appeals status and appeals results. Ensures that all denials are tracked and the appeals are monitored accordingly.
- Performs other duties as required.
Qualifications
The Reimbursement & Billing Specialist is charged with coordinating the analysis and effective resolution of denied claims with the purpose of reducing overall denials and increasing revenue. The Reimbursement & Billing Specialist is responsible for prioritizing and managing to resolution denied claims with government and third party payers. Responsibilities include:- Interpreting payment and denial data down to the line item detail
- identifying payer and coding trends, risks, and opportunities, and to implement operational and/or systematic improvements.
- Researches, develops, and maintains a solid understanding of payer requirements, including filing limit, claim processing logic, coordination of benefits requirements, patient responsibility and authorization requirements.
- Triages denied claims to identify appropriate action to ensure timely processing and payment.
- Performs ongoing analysis to determine the root cause of denials and proactively alert management to issues and trends.
- Proactively makes recommendations for workflow, operational, and/or systemic changes to reduce denials and speed up collections.
- Assists in developing and modifying tracking and reporting process for denials, appeals status and appeals results. Ensures that all denials are tracked and the appeals are monitored accordingly.
- Performs other duties as required.
Pay Range
USD $25.00 - USD $26.50 /Hr.
Average salary estimate
If an employer mentions a salary or salary range on their job, we display it as an "Employer Estimate". If a job has no salary data, Rise displays an estimate if available.
Lead psychiatric care and treatment planning as an Outpatient Psychiatrist at Vinfen, a nonprofit focused on mental health and recovery.
Vinfen is seeking a Senior Analytics Specialist to provide critical analytical insights and drive a data-informed culture in a leading nonprofit health and human services organization.
Lead the Patient Accounting team at Covenant Health to enhance billing accuracy, compliance, and staff performance in a reputable nonprofit healthcare system.
Support project financial health and Smartsheet operations as a Project Accounting & Application Specialist at Cambrex.
Support UChicago Medicine's Revenue Cycle by managing patient financial information and assisting with insurance and payment processes in a dynamic, hybrid role.
University of Arkansas is hiring a Pay Component Reconciliation Specialist to maintain payroll accuracy and support financial reconciliation efforts in a dynamic academic environment.
Woodmark Pharmacy in Buffalo, NY is looking for a detail-focused Accounts Receivable Clerk to handle daily financial reconciliations and support billing operations on-site.
Junior Accounting Clerk needed to manage costing, financial analysis, and SOX documentation in an industrial manufacturing environment.
A dynamic Revenue Accounting Manager role at accessiBe to lead revenue recognition and order-to-cash operations ensuring compliance and financial accuracy in a high-growth SaaS environment.
An established CPA firm seeks a Hybrid Tax Manager (CPA/EA) to manage complex tax returns and client relations with future advancement potential.
Las Vegas Petroleum seeks an experienced Accounts Payable Analyst to oversee financial transactions and maintain compliance in a fast-paced QSR environment.
A high-impact Senior Accounting Manager role at Boundless to lead general ledger accounting and system optimization for a mission-driven, high-growth tech company.
MasterBrand Cabinets is looking for a detail-oriented Accounts Payable Associate II to process invoices and support vendor payments with a focus on accuracy and continuous improvement.
Standish Management is looking for a detail-oriented Management Company Accounting Specialist to support accounting operations and reporting for private equity and venture capital funds.
A dynamic Line of Business Controller position at Corebridge Financial partnering with CFOs and finance teams to drive ledger accuracy, process improvement, and financial transformation.
Vinfen transforms lives by building the capacity of individuals, families, organizations, and communities to learn, thrive, and achieve their goals. Our services and advocacy promote the recovery, resiliency, habilitation, and self-determination o...
78 jobs
🔮
Hi, I'm Risa! Your AI Career Copilot
you, just ask me below!
