Billing Specialist

Freenet Health Corp. is a healthcare management services company that works exclusively for telehealth and mobile practice providers, including medical billing services. Freenet Health Corp is now hiring a billing team lead to service the mobile wound care practice Woundlocal .

Hiring : a clinical back certified medical billing professional with extensive experience in Medicare billing and commercial and federal insurance benefits verification. Must be able to perform, train, and oversee verifying patient benefits, reviewing provider documentation, provide real-time feedback to the medical team, ensure timely submission to payers, review claim denials, submit appeals, and bill secondary insurance. All claims are made for advanced wound care services and allograft skin substitutes.

Manager Responsibilities:

• Direct peers on work queues, assignments and priorities
• Culture leader and attention to team dynamic
• Coordinate internal training and third party strategic learning sessions
• Provide accurate answers to queries from providers, management, and internal staff.
• Identifies internal process problems, researches where they are occurring, and provides recommendations for solutions.
• Manages expert remote coder to ensure properly assigned difficult codes and/or complex coding scenarios using modifiers.
• Analyzes aging accounts receivables and lost client revenue, provides recommended actions.
• Liaison to third-party billing company while also building an internal team.
• Grow a culture of excellence, integrity, and collaboration.
• Greater responsibilities are available should the candidate experience match the responsibilities.
• Duties, Responsibilities, and Compensation will be adjusted to the individual hire's experience level and expertise.

Daily Competency:

• Accurately post payments from insurnace companies, patients, and thrid parties into the practice management system.
• Reconcile posted payments against bank deposits and daily batch totals
• Ensure proper allocation of payemnts, adjustments, deductibles, co-insuramce, and co-pays.
• Review and analyze medical documentation to ensure accurate coding and billing processes.
• Assign appropriate codes for diagnoses, procedures, and services according to the guidelines and regulations.
• Stay up-to-date with coding standards and insurance requirements, including ICD-10, CPT, and HCPCS coding systems.
• Collaborate with healthcare providers to clarify documentation and ensure completeness.
• Identify and resolve discrepancies in medical records and coding for accurate claims processing.
• Evaluate and re-file appeals of patient claims that were denied.
• Stay up-to-date on new coding ruleas and code changes.
• Assist in audits and provide necessary documentation for compliance and quality assurance activities.
• Collect and distribute coding related information and billing issues to management and provider when changes happen.
• Accurate classification of wound care and graft encounters in skilled nursing facilities, long term acute care, home health, hospice, assisted and independent living, and home visits.
• Reviews provider charts for completion and following practice standards.
• Performs some of the insurance benefits verifications with in network and out of network payers
• Analyzes claims rejections and initiates appeals if applicable.

Start Date: Immediate

Job Type: Full-time

Work Location: In person, either Austin or Boerne office (no remote work)

Requirements

Qualifications:

• 4+ years employed in a private medical practice
• 2+ years managing employees
• 4+ years of insurance payments and adjustments
• 4+ years using billing portals
• 4+ years experience with ICD-10, CPT, & HCPCS codes
• Strong attention to detail
• Proficiency in EMR systems
• Proficiency in Microsoft Office (Word, Excel, Outlook)
• Strong computer skills
• Experience with home health and/or skilled nursing facilities a plus
• Competitive nature
• Happy disposition

Compensation

Estimated salary range (Texas market):

$62,400 - $93,600 annually

Compensation varies based on experience and qualifications.

Benefits

Why this job is AWESOME:

Join us and you will see, we don't do things like everyone else. We are the newest and fastest-growing in popularity for online healthcare. It's no secret how we're accomplishing this... it's our incredible team members and the culture we're building!

If you are looking for an amazing place to work, grow, learn, and have a blast - this is it.

• Great team! We spend a ton of time investing in our people and our culture including frequent company sponsored events.
• Great pay! We pay well and your pay scales based on performance.
• Great opportunities! We're growing and we like to promote from within including company sponsored career development.

Benefits:

• 100 % employer paid medical, dental, vision

Work setting:

• Administrative office setting - no remote work

Schedule:

• No less than 40 hours per week
• Monday to Friday