Hey Jane
Complete abortion care through telemedicine ✨
Billing Specialist
Billing SpecialistBilling SpecialistFull TimeRemoteTeam 1-10Since 2021H1B No SponsorCompany SiteLinkedIn
Location
California + 8 moreAll locations: California, Colorado, Illinois, New Jersey, New York, Oregon, Maryland, Massachusetts, Washington
Posted
28 days ago
Salary
$60K - $65K / year
1 yr expEnglish
Job Description
• Ensure a smooth, efficient, and timely claim submission process with minimal denials, including identifying gaps in claims
• Follow up on unpaid claims, denials, and appeals to ensure maximum reimbursement
• Investigate and resolve billing discrepancies or coding issues
• Collaborate with internal teams, including clinicians, to provide charting requirements and necessary documentation for claims submission, training team members on billing processes, and creating workflows for billing operations
• Provide support and guidance to patients regarding their insurance coverage, financial assistance, and billing inquiries
• Manage abortion fund invoicing and reimbursements
• Maintain accurate and organized billing records and documentation
• Generate and analyze reports to monitor billing performance and identify areas for improvement
• Support new payor partnerships, working collaboratively with internal and external stakeholders to own billing and coding workflows as we grow
• Maintain knowledge of current billing and coding regulations and updates
• Stay up-to-date with changes in insurance policies, fee schedules, and reimbursement rates
• Assist with other billing-related tasks as needed
Job Requirements
- 1+ years experience as a Billing Specialist in a healthcare setting (preferably in a telehealth setting)
- Deep expertise in Medicaid and Medi-Cal billing guidelines, including familiarity with state-specific reimbursement rules and eligibility verification
- Strong proficiency in ICD-10, CPT, and HCPCS coding, particularly as they relate to abortion services and sexual and reproductive health
- Proven experience managing the full claims lifecycle, including submission, denial management, and appeals
- Hands-on experience with Electronic Health Records (EHR) and Revenue Cycle Management (RCM) systems
- Solid understanding of HIPAA regulations and a strict commitment to maintaining patient data privacy
- Strong attention to detail and accuracy
- Ability to effectively communicate with patients, insurance companies, and internal stakeholders
- Proficient in using Excel or Google Sheets
- Ability to work independently in a fast-paced environment
- Strong organizational and time management skills
- Passion for advancing equitable healthcare, with a deep-rooted ability to empathize with Hey Jane patients
Benefits
- Unlimited vacation
- Health, dental, and vision insurance with FSA