Billing Specialist - Remote

At Woven Care, we pride ourselves on being the foremost pediatric healthcare provider, offering a comprehensive range of services including occupational, physical, speech, and behavior therapy. Established in 2005, our dedicated clinicians have consistently delivered excellent pediatric care in a collaborative environment. Our culture values excellence, continued improvement, integrity, and working as ONE TEAM. Woven Care is committed to building the strongest team so we can expand services and deliver high-quality results for our patients.
As a growing organization, we are looking for a full-time Billing Specialist to help us in managing our end-to-end revenue and collections cycle with third-party payors and clients. The Billing Specialist will be an integral part of the clinical support team, proactively managing our relationships with payor partners and ensuring timely and complete post-service collections.

Compensation Range:

• $22-$25/hour

Essential Duties and Responsibilities:

• Timely, complete, and accurate initial submission of claims, follow-up, and re-submission of claims, as necessary
• Own and nurture payor relationships, managing follow-up on special projects and resubmission of denied claims
• Monitor and report on aging of accounts receivable and reason codes for claim denials
• Investigate claim denials timely, identify reasons for denials, and take appropriate actions to appeal or correct denied claims to ensure maximum reimbursement.
• Collaborate with client intake department, authorizations department, and other internal stakeholders on day-to-day billing functions and special projects
• Reconcile and distribute accurate and timely patient account statements
• Initiate collections activities for past due accounts and negotiate payment plans or arrangements
• Post collections to practice management software and process remittances from payors
• Recommend and implement process improvements in the areas of revenue cycle management, billing, payor relations, and compliance
• Maintain positive relationships with all current clients, prospective clients, clinical staff, prospective employees, fellow team members and referral sources
• Communicate effectively with families on benefits and insurance costs
• Ensure compliance with relevant healthcare regulations, coding guidelines, insurance policies, and follow best practices for medical billing and coding

Essential Skills:

• Highly organized, structured thinker who is detail-oriented and thrives working in the weeds
• Unwavering focus on customer service, delivering an exceptional experience to both clients and clinicians
• Resilience in pursuing projects until completion; able to push for outcomes respectfully and professionally
• Clear written and verbal communication and strong interpersonal skills; comfortable with cold-calling and demanding escalation from payors where necessary
• Ability to work independently with minimal supervision and lead with a solution-oriented mindset
• Strong computer and IT skills with the ability to independently set up office equipment at a home workstation (remote workers)
• Strong proficiency with Microsoft Office (Microsoft Word, Excel, PowerPoint, and Outlook)
• Intermediate level in understanding medical terminology and mathematics

Qualifications:

• Bachelor’s degree in related field
• Two to four years of experience in healthcare billing/collections, pre-authorizations, and payment posting
• Experience in speech, occupational, and physical therapy preferred but not required
• Experience using Therabill EMR preferred but not required

Location and Schedule:

• Remote opportunity but teammate must reside in Colorado.
• Monday-Friday 8:00 am - 5:00 pm | 40 hours per week

#5-2024

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If you want to help change the trajectory of a child's life, apply today. We are hiring right NOW. Joe Ancona, our Hiring Manager, will reach out shortly after you apply.
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