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Billing Specialist
Location:
US-CT-Westport
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Performance Optimal Health has always been ahead of its time. The Performance Optimal Health brand is achieved via whole body health through a balance of exercise, nutrition, recovery, and stress management the Four Pillars of Optimal Health. We are an innovative health care company with a holistic approach to health and wellbeing. Our team of specialists work in synergy to help our clients achieve the right balance. We empower our clients to live better.

As the organization continues to scale, we are looking to bring aboard a Billing Coordinator within our Business Administration/AR Team. We are seeking a passionate, client service focused, positive, and hard-working individual with a love for wellness and an excitement for Performance Optimal Health. The Billing Coordinator will report directly to the Head of Business Administration and will be directly responsible for Performance Optimal Healths insurance billing and follow-up. You will ensure the processes and procedures associated with Performance related; but not exclusive to timely billing, frequent follow-up, denials management and prevention strategies, and general A/R. The ideal candidate has a deep understanding of billing requirements for various insurance plans, and team productivity management. Experience with healthcare billing / reimbursement is a plus.

This position will be housed in New Canaan, CT.

Cornerstones
Performance Optimal Health is driven by five main cornerstones that are ever present and inform all actions and decisions regarding how we scale, what direction our business takes, and how we conduct ourselves.

  • We care from the core
  • We sweat the small stuff
  • We are teachers & scholars
  • We take ownership
  • We huddle


Key Areas of Ownership (But not limited to)

  • Ensures that AR/Billing department follows established policies, regulations and standards including government, private, employer services, and self-pay visits
  • Creates, implements, and upholds billing procedures, protocols, and polices related to AR/Billing department
  • Closely monitors billing accuracy, workflow, and timeliness to identify appropriate corrective actions, training, and systems modifications.
  • Handles Insurance Verifications in conjunction with other team members.
  • Maintains the privacy and confidentiality of information and adheres to applicable federal, state and local laws and regulations
  • Maintains up to date expertise and knowledge of healthcare billing laws, rules, regulations, and development necessary for the billing team to carry out their duties. Working knowledge of medical terminology, ICD, CPT and HCPCS codes.
  • Maintain provider and office credentialing to assure all information is correct; Assist in contract processing and follow-up.
  • Recommends and implements new efforts to improve billing cycle performance
  • Manages actions related to aged and delinquent accounts, collection agencies, special adjustments and /or write-offs to ensure maximum efforts exhausted before assigning bad credit status to account.
  • Works with all resources to ensure effective automation of billing cycle processes and utilization of practice management system functionality.
  • Ensures excellent customer service is provided to all patients relative to billing issues, including but not limited to direct handling of escalated billing/collection issues as needed.
  • Performs other related duties as assigned.

Requirements

  • 5+ years of experience working as a medical biller required.
  • Understanding of accounts receivable and ability to communicate clearly with peers as well as others
  • Experience in a medical practice environment is preferred
  • Strong communication, problem solving, and analytical skills required
  • Ability to work independently and to adapt to a fast-changing environment
  • Proficiency in Microsoft Office including Excel, Word, and Access
  • Attention to detail with an eye for accuracy
  • Self-disciplined and capable of identifying and completing critical tasks independently and with a sense of urgency
  • Understanding of accounts receivable and ability to communicate clearly with peers as well as others
  • Tech savvy and Experience with EMR software

Benefits

  • Competitive Salary based on Experience
  • Huge growth potential within the organization.
  • Medical/Dental/Vision
  • 401K (& Match)
  • Access to facilities at all locations.
  • Internal and External Discounts.
  • Annual continuing education allocations
  • Fun atmosphere

This job description is intended to describe the general requirements for the position. It is not a complete statement of duties, responsibilities, or requirements. Other duties not listed here may be assigned as necessary to ensure the proper operations of the department. All your information will be kept confidential according to EEO guidelines. Must have a legal right to work in the United States.

Performance Optimal Health

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