Billing Specialist

ChenMed; Miami (FL); On-site; USD 30,000 - 43,000; Full time

Job summary

ChenMed is seeking a Billing Specialist to support daily billing operations, ensure compliance with regulatory standards, and act as a super-user for billing systems. The role emphasizes accuracy, timely processing, and interdepartmental collaboration.

Qualified candidates have an Associate degree, 2+ years in patient accounts, and at least 3 years in billing with certifications—or the ability to obtain within 1 year. Some travel may be required.

Qualifications

• Associate degree required; higher degree preferred.
• Two years' experience in Patient Accounts required.
• Minimum three years' experience with billing regulations and compliance.
• Medical Billing and Coding Certification required or obtainable within 1 year.

Responsibilities

• Provides daily administration and coordination of billing functions.
• Supports billing and collections, and data processing to ensure accurate billing and efficient account collection.
• Reviews reports, works queues, monitors department's productivity, recommends improvements to enhance the unit's productivity and meet goals.
• Serves as the practice expert and go to person for all billing processes, limited coding questions and help resolve issues.
• Maintains contacts with other departments to obtain and analyze additional patient information to document and process billings.
• Supports and performs the operations of the billing department including but not limited to; medical coding, charge entry, claims submissions, payment posting, accounts receivable follow-up, and reimbursement management.
• Audits current procedures to monitor and improve efficiency of billing and collections operations.
• Ensures that the activities of the billing operations are conducted in a manner that is consistent with overall department protocol, and follow Federal, State, and payer regulations, guidelines, and requirements.
• Participates in the design and implementation of specific systems to enhance revenue and operating efficiency.
• Assists in recruiting, hiring, training, disciplining, and recommend termination of Medical Billers as required to maintain a skilled, enthusiastic, and productive workforce.
• Performs other duties as assigned and modified at manager’s discretion.

Skills

Communication skills

Data analysis

Professional relationships

Policy compliance

Insurance guidelines

Travel readiness

English fluency

Education

Associate degree

Bachelor's degree preferred

Patient accounts experience

Three years billing experience

Medical Billing & Coding Certification

Job description

We're unique. You should be, too.

We're changing lives every day. For both our patients and our team members. Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts? Do you inspire others with your kindness and joy?

We're different than most primary care providers. We're rapidly expanding and we need great people to join our team.

The Billing Specialist is responsible for assisting in the day-to-day operations of the Billing Department and timely and accurate professional billing. Role is also responsible for ensuring compliance with all organizational, statutory, and federal, contractual obligations, regulations, and standards. This position serves as super-user for billing systems, including but not limited to maintaining edits, bridge routines, and establishing and maintaining billing system vendor and IT relationships.

ESSENTIAL JOB DUTIES/RESPONSIBILITIES

• Provides daily administration and coordination of billing functions
• Supports billing and collections, and data processing to ensure accurate billing and efficient account collection.
• Reviews reports, works queues, monitors department's productivity, recommends improvements to enhance the unit's productivity and meet goals.
• Serves as the practice expert and go to person for all billing processes, limited coding questions and help resolve issues.
• Maintains contacts with other departments to obtain and analyze additional patient information to document and process billings.
• Supports and performs the operations of the billing department including but not limited to; medical coding, charge entry, claims submissions, payment posting, accounts receivable follow-up, and reimbursement management.
• Audits current procedures to monitor and improve efficiency of billing and collections operations.
• Ensures that the activities of the billing operations are conducted in a manner that is consistent with overall department protocol, and follow Federal, State, and payer regulations, guidelines, and requirements.
• Participates in the development and application of operating policies and procedures.
• Reviews and interprets operational data to assess need for procedural revisions and enhancements.
• Participates in the design and implementation of specific systems to enhance revenue and operating efficiency.
• Assists in recruiting, hiring, training, disciplining, and recommend termination of Medical Billers as required to maintain a skilled, enthusiastic, and productive workforce.
• Performs other duties as assigned and modified at manager’s discretion.

KNOWLEDGE, SKILLS AND ABILITIES

• Good communication skills, oral and written
• Ability to analyze data and work independently.
• Must be able to develop and maintain a professional, service-oriented working relationships with physicians, insurance companies and healthcare providers.
• Must be able to understand and comply with policies and procedures.
• Knowledge of insurance guidelines, Medicare, Medicaid and Commercial Payers.
• Ability and willingness to travel locally, regionally and/or nationally up to 10% of the time; flexible to work weekends as needed
• Spoken and written fluency in English

EDUCATION AND EXPERIENCE CRITERIA

• Associate degree required.
• Bachelor's Degree or equivalent degree within specific field preferred. Two (2) years' experience in a Patient Accounts setting required.
• Minimum three years' experience with billing regulations, including but not limited to certifications, authorizations, insurance assignments, coordination of benefits and compliance.
• Medical Billing and coding Certification required or ability to obtain within 1 year.

PAY RANGE

$22.0 - $31.42 Hourly

The posted pay range represents the base hourly rate or base annual full-time salary for this position. Final compensation will depend on a variety of factors including but not limited to experience, education, geographic location, and other relevant factors. This position may also be eligible for a bonuses or commissions.

EMPLOYEE BENEFITS

https://chenmed.makeityoursource.com/helpful-documents

We're ChenMed and we're transforming healthcare for seniors and changing America's healthcare for the better. Family-owned and physician-led, our unique approach allows us to improve the health and well-being of the populations we serve. We're growing rapidly as we seek to rescue more and more seniors from inadequate health care.

ChenMed is changing lives for the people we serve and the people we hire. With great compensation, comprehensive benefits, career development and advancement opportunities and so much more, our employees enjoy great work-life balance and opportunities to grow. Join our team who make a difference in people's lives every single day.