Billing Specialist
WHO WE ARE
NeueHealth is a value-driven healthcare company grounded in the belief that all health consumers are entitled to high-quality, coordinated care. By uniquely aligning the interests of health consumers, providers, and payors, we help to make healthcare accessible and affordable to all populations across the ACA Marketplace, Medicare, and Medicaid.
NeueHealth delivers clinical care to health consumers through our owned clinics – Centrum Health and Premier Medical – as well as unique partnerships with affiliated providers across the country. We also enable providers to succeed in performance-based arrangements through a suite of technology and services scaled centrally and deployed locally. Through our value-driven, consumer-centric approach, we are committed to transforming healthcare and creating a better care experience for all.
JOB SUMMARY
The Biller Specialist is responsible for the accuracy of the super bill/claim prior to transmission to payer, including validation of appropriate Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS), and International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM).
This is an ONSITE position. 9250 NW 36th St, Suite 420 Doral, FL 33178
DUTIES & RESPONSIBILITIES
The Billing Specialist job description is intended to point out major responsibilities within the role, but it is not limited to these items.
-
Assign/remove CPT, HCPCS and modifiers as part of the super bill/claim validation process.
-
Prepare and review super bill/claims prior to submission.
-
Identify coding trends and opportunities to improve quality, efficiency and productivity.
-
Checking each insurance payment for accuracy.
-
Ensure compliance with billing and payers’ guidelines.
-
Calling insurance companies regarding any discrepancy in payments if necessary
-
Researching and appealing denied claims.
EDUCATION AND PROFESSIONAL EXPERIENCE
(Licensures AND Certifications)
-
High school diploma or GED equivalent
-
Minimum of 1 year of experience as a medical biller.
PROFESSIONAL COMPETENCIES
-
Knowledge of insurance guidelines including HMO/PPO, Medicare, Medicaid, and other payer requirements and systems.
-
Knowledge of CPT, ICD-10-CM and HCPCS codes.
-
Knowledge of coding principles and guidelines.
-
Knowledge of billing principles and guidelines.
-
Knowledge of federal, state, and payer-specific regulations and policies pertaining to documentation, coding, and billing for professional and technical services.
-
Excellent written and oral communication skills
-
Prefer but not require American Academy of Professional Coder (AAPC) Certified Professional Coder (CPC) or American Health Information Management Association (AHIMA) Certified Coding Specialist (CCS).
As published by greenhouse · 11 questions
Basics
First Name, Last Name, Email, Phone, Resume/CV, Cover Letter
Short answers (5)
- Preferred First Name
- LinkedIn Profile optional
- In which City and State do you currently reside in?
- What is your desired compensation?
- If you are related to, or in a personal relationship with, any current NeueHealth or affiliate employee, please list the employee's name and your relationship to the employee. optional
Pick from a list (6)
- Have you previously been employed by NeueHealth, Bright Health or an affiliate?
- Do you have an existing employment agreement (i.e. non-compete)?
- Will you now, or in the future, require visa sponsorship?
- Are you, or your close relative, currently employed by Deloitte, or have you previously been employed by Deloitte?
- Are you related to, or in a personal relationship with, any current NeueHealth or affiliate employee?
- By answering Yes, I consent to receive text messages about my job application and interview process and understand that I can opt out at any time by replying STOP to the texts that I receive. *Standard text rates apply*