MEDICAL BILLING SPECIALIST (REMOTE)

Freddie Mac; United States; Remote; USD 60,000 - 80,000; Full time

Job summary

Join a leading nonprofit organization as a Billing Specialist, where you will provide high-quality billing services to member clinics. This fully remote position focuses on maximizing reimbursements and enhancing the billing department's reputation through efficient processes and compassionate customer service.

Benefits

Comprehensive benefits

Work-life balance

Professional advancement opportunities

Qualifications

• 1-2 years of relevant experience preferred.
• Knowledge of billing processes for Medicare, Medicaid, and private insurance.

Responsibilities

• Provide efficient accounts receivable services to maximize reimbursements.
• Accurately bill various insurances and assist in collecting receivables.
• Maintain accurate billing and accounts receivable records.

Skills

Medical Terminology

Customer Service

Education

High school diploma or GED

Higher education

Tools

EPIC

Job description

Job Type
Full-time

Description

MAKE A DIFFERENCE AT OCHIN

OCHIN is a nonprofit leader in health care innovation and a trusted partner to a growing national provider network, providing the clinical insights and tailored technologies needed to expand patient access, grow and connect care teams, and improve the health of rural and underserved communities.

We are hiring for a number of new positions to meet increasing demand. When you choose to join OCHIN, you have the opportunity to continuously grow your skills and do meaningful work to help fulfill our vision of good health and well-being for everyone.

At OCHIN, we value the unique perspectives and experiences of every individual and work hard to maintain a culture rooted in our values.

Founded in Oregon in 2000, OCHIN employs a growing virtual workforce of more than 1,200 skilled professionals, working remotely across 49 states. We offer a generous compensation package and are committed to supporting our employees' entire well-being by fostering a healthy work-life balance and opportunity for professional advancement. We are curious, collaborative learners who strive to live our values every day. OCHIN is excited to support our continued national expansion and the increasing demand for our innovative tools and services by welcoming new talent to our growing team.

Position Overview

The Billing Specialist is responsible for providing high-quality billing services to one or more OCHIN Billing Services (OBS) member clinics. The role primarily focuses on payor follow-up and denial management, recognizing high-risk accounts, and developing techniques to improve collections and streamline processes.

The OBS team member will discuss complex or unique collection issues with the Billing Supervisor, resolve problems, apply new information to future cases, and suggest process improvements to enhance efficiency and effectiveness with supervisor support.

This position aims to enhance the billing department's reputation by owning responsibilities for new and different requests and exploring opportunities to add value.

Essential Duties

• Provide efficient and effective accounts receivable services to maximize reimbursements and support OCHIN revenue cycle performance.
• Accurately bill Medicare, Medicaid, self-pay/uninsured, and commercial insurance, complying with payer requirements and organizational policies.
• Assist in collecting receivables by monitoring accounts, checking claim statuses, resubmitting overdue claims, filing appeals, and alerting supervisors of seriously overdue accounts and trends.
• Post patient payments, electronic remits, and paper explanations of benefits (EOBs).
• Correct claim and charge errors.
• Research and resolve credit balances thoroughly.
• Respond to phone inquiries from patients and responsible parties regarding balances or other matters, providing compassionate customer service.
• Perform billing-related projects, data entry, and computer operations as needed.
• Update registration information in Epic.
• Maintain accurate billing and accounts receivable records.
• Send correspondence to member clinics/clients following their policies.
• Establish and maintain positive relationships with patients, payers, colleagues, and stakeholders, ensuring confidentiality in compliance with HIPAA.
• Continuously improve understanding of collection processes through collaboration within OBS and OCHIN.
• Perform other duties as assigned.

Requirements

• 1 year of relevant experience preferred; 2 years desired.
• High school diploma or GED required; higher education preferred.
• Experience with FQHC/RHC settings preferred.
• Knowledge of Medical Terminology preferred.
• EPIC experience preferred.
• Working knowledge of billing and reimbursement processes for Medicare, Medicaid, MVA, Workers Comp, and private insurance, including legal requirements.

COVID-19 Vaccination Requirement

All employees, including remote workers, contractors, interns, and new hires, must be vaccinated against COVID-19 or have an approved exemption before their start date, to ensure safety.

Work Location and Travel

OCHIN is a 100% remote organization. Employees work from home, with some on-site support for software installations. Travel is based on business needs; discuss during interviews.

Work from home requirements include:

• Ability to work independently from a distraction-free environment
• High-speed internet

We offer comprehensive benefits; details are available on our website.

Equal Opportunity Statement

OCHIN is an equal opportunity employer committed to diversity and inclusion. We do not discriminate based on protected characteristics. Employment decisions are based on merit, performance, and business needs.

Base Pay Overview

The typical salary range is from minimum to midpoint, considering skills, experience, and market data. The actual offer depends on various factors.

#LI-Remote

Salary Range: Min-$21.86, Mid-$26.23, Max-$30.60