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

Related Categories

Related Job Pages