Remote Medical Billing Specialist II

clearway; Annapolis (MD); Remote; USD 71,635,000 - 83,097,000; Full time

Benefits offered by this job

PTO up to 96 hours

7 Holidays

401(k) with employer match

Medical, Dental, Vision benefits

Short-Term Disability

Long-Term Disability

Life/AD&D

Employee Assistance Program

Voluntary Life

Accident

Critical Illness

Hospital Indemnity

Overtime pay (non-exempt)

Job summary

Clearway is seeking a Billing Specialist to support the complete and timely revenue collection by coding and entering patient and charge information into the billing system. The role tracks high-dollar claims from entry to payment and resolves complex carrier issues.

This remote position requires residence in operating states and involves follow-up on complex claims and denials. You will collaborate with the billing team to ensure accurate documentation, perform appeals, and maintain a

Qualifications

• High School Diploma or equivalent with 5+ years related experience.
• Proficient in Internet and Microsoft Office (Word, Excel, PowerPoint, Outlook).
• Excellent written and oral communication and customer service.
• Ability to work with doctors, clinical staff and the public.
• Able to work independently and in a team.
• Follow verbal and written instructions.
• Flexible schedule availability.
• Patience under stressful patient health and emergent situations.
• Multi-tasking and prioritization skills.
• Attention to detail, strong organization, problem-solving and quality standards.
• HIPAA compliance knowledge.

Responsibilities

• Review and resolve payer denials, including appeals and coding corrections.
• Assist auditor in reviewing notes for medical necessity.
• Coordinate with authorization department to resolve complex procedures.
• Run and maintain tracking logs for high-dollar procedures and report results.
• Contact Provider Service Representatives to resolve recurring payment issues.
• Act as a resource for Billing Staff on complex issues.
• Analyze and resolve billing issues; keep A/R under 10% over 60 days.
• Process daily correspondence, claim status, denials, appeals and re-bills.
• Answer billing questions from patients and internal staff.
• Update patient files with changes to addresses and contacts.
• Review policy changes and inform supervisor and charge entry specialist.
• Navigate insurer websites to research policies and payments.
• Keep supervisor informed about accounts receivable matters.
• Respond to requests from billing company promptly.
• Research denials and submit correct claims/medical documentation.
• Review and manage claims within dashboard hold buckets for resolution.
• Create, maintain and update reports as directed.
• Maintain confidentiality per HIPAA rules and regulations.
• Assist in training new revenue cycle staff.
• Collect and review end-of-day reports.
• Check work e-mail regularly throughout the workday.
• Participate in required trainings and in-services.
• Perform other duties as assigned.

Skills

Excellent written and verbal comun c.

Customer service focus

Strong organizational skills

Attention to detail

Multi-tasking and prioritization

Problem solving and reasoning

Teamwork

Flexibility/work schedule

Professional appearance/attitude

HIPAA awareness

Education

High School Diploma or equivalent with 5+ years related experience

Tools

MS Word

MS Excel

MS PowerPoint

MS Outlook

Internet

Job description

Clearway is seeking a Billing Specialist to support the complete and timely revenue collection by coding and entering patient and charge information into the billing system. The role tracks high-dollar claims from entry to payment and resolves complex carrier issues.

This remote position requires residence in operating states and involves follow-up on complex claims and denials. You will collaborate with the billing team to ensure accurate documentation, perform appeals, and maintain a