Billing Specialist

Peach Tree Health; United States; Remote; USD 40,000 - 56,000; Full time

Benefits offered by this job

Monday - Friday Scheduling

Paid Holidays

PTO

Medical, Dental, Vision Coverage

403(b) Retirement with Employer Match

Professional development opportunities

Job summary

Aviva Health in the United States is seeking a remote Medical Billing Specialist to submit and follow up on claims, ensuring accuracy and timely reimbursement. The role collaborates with providers to verify documentation and coding.

You will handle diverse payer types, stay current on guidelines, and assist patients with billing questions while maintaining high-quality service and compliance.

Qualifications

• High School Diploma or GED required.
• Minimum of one year experience in medical billing utilizing ICD-10, CPT, and HCPCS coding.
• Certification in medical coding/billing preferred.

Responsibilities

• Review medical documentation and code with CPT, HCPCS, and ICD-10 coding materials, collaborating with providers.
• Submit clean claims to all payer types for prompt return of accounts receivable.
• Follow-up on unpaid claims and resolve billing issues in a timely manner.
• Stay current on coding and billing guidelines for all payer types, including government programs and workers’ compensation.
• Post payments in the practice management system, maintain batch controls and run reports.

Skills

Billing experience

Communication skills

ICD-10/CPT/HCPCS

Attention to detail

Education

High School Diploma or GED

Tools

Practice management system

Job description

Remote

Who We Are:

Aviva Health is a dynamic and mission-driven federally qualified health center (FQHC). Committed to providing comprehensive and compassionate healthcare services, Aviva Health offers a holistic approach to care, addressing patients' medical, behavioral health, dental, and social service needs. As a vital healthcare resource in the community, Aviva Health fosters a collaborative and supportive work environment where dedicated healthcare professionals have the opportunity to make a meaningful impact on the lives of individuals and families. Join us at Aviva Health and be part of a team that is dedicated to making a difference in the lives of our patients and the community we serve.

Benefits Include:

• Monday - Friday Scheduling
• Paid Holidays
• PTO
• Comprehensive Medical, Dental, and Vision Coverage
• 403(b) Retirement with Employer Match
• Training and professional development opportunities
• Work-life balance as a Blue Zones participant

POSITION PURPOSE:

This position is responsible for prompt, accurate, and effective medical insurance claim submission, with follow-up of claims to satisfactory resolution.

ESSENTIAL FUNCTIONS:

• Review medical documentation and assess for proper coding utilizing CPT, HCPCS, and ICD10 coding materials, working closely with providers and other medical staff to ensure accuracy.
• Submit clean claims to all payer types for prompt return of accounts receivable.
• Follow-up on unpaid claims and resolve any billing issues in a timely manner.
• Stay current on coding and billing guidelines for all payer types, to include commercial, government, and worker’s compensation.
• Identify accounts which may require a refund and process appropriately.
• Manage claims through various online tools and reporting systems.
• Identify education needs for providers and medical staff based on coding assessments and/or updates, and act accordingly.
• Assist patients with billing questions and issues, to include guidance on office policies regarding sliding scale discounts and payment arrangements for outstanding balances.
• Post payments in practice management system, maintain batch controls and run reports appropriately.
• Assist front office staff with billing questions relating to proper registration and scheduling of appointments as needed.
• Participate in projects, trainings, and office/staff meetings.
• Follow all Aviva Health policies and procedures.

QUALIFICATIONS:

• High School Diploma or GED required.
• Minimum of one year experience in medical billing utilizing ICD-10, CPT, and HCPCS coding.
• Excellent written and oral communication skills.
• Certification in medical coding/billing preferred.