Billing Specialist (Remote) | Experience Required | FL, NY, VA

Job Description

Job Description

Grider Support Services, LLC is a healthcare services organization and proud partner of Erie County Medical Center (ECMC), Western New York's only Level 1 Adult Trauma Center, and a regional center for behavioral health, transplantation, cancer care, and rehabilitation. Together, we support high-quality, patient-centered care by providing operational, administrative, and revenue cycle services that help healthcare providers focus on what matters most—caring for patients.

We are seeking a dedicated Billing Specialist to join our growing Revenue Cycle Management team. In this role, you will help ensure the accurate and timely processing of medical claims while supporting the financial health of healthcare practices and the patients they serve. If you are detail-oriented, enjoy problem-solving, and thrive in a fast-paced environment, this is an excellent opportunity to apply your medical billing expertise in a mission-driven healthcare organization.

Pay Range: $17.00 to $22.00 hourly*
Department: Revenue Cycle Management
Location: Fully Remote ( Applicants must reside in Florida, New York State, or Virginia at the time of hire and throughout employment. )
Position Type: Full-time, First Shift, M-F - 4 days a week remote, 1 day in-office

Why Grider Support Services?

• Work-Life Balance: Enjoy a schedule with no nights or weekends, that allows you to work 4 days a week remote.
• Comprehensive Benefits: Rich medical, dental, vision package with a 100% employer funded HRA!
• Generous Paid Time Off: 10 paid holidays, plus PTO and a sick bank.
• Secure Retirement: 401(k) plan with a 3% match.
• Peace of Mind: Employer paid life insurance policy and other voluntary life insurance offerings.
• Extra Perks: Exclusive deals, discounts, and more

Essential Duties and Responsibilities:

• Review and process patient medical records to ensure accuracy in charge posting and billing.
• Maintain knowledge and experience in utilizing CPT and ICD-10 coding systems to assign appropriate codes for procedures and diagnosis ensuring adherence with payer guidelines.
• Prepare and submit claims to insurance companies for processing including batch transmission reconciliation process.
• Communicate with healthcare providers, patients, and insurance companies regarding billing inquiries.
• Maintain up-to-date knowledge of medical billing systems and practices.
• Ensure compliance with all relevant laws and regulations related to medical billing and reimbursement.
• Collaborate and maintain a positive rapport with medical office staff to resolve any discrepancies or issues related to billing.
• Maintain knowledge and understanding of medical insurance programs and coverage offered under the various plans.
• Research and work collaboratively with medical office staff to capture all billing activities (e-bill management). This may require access to additional information systems (EMR or Data Warehouse)
• Contact patients and/or provider offices directly to secure current and accurate insurance information and provide guidance to patients on policy terms.
• Respond to the revenue cycle management team and external vendors promptly to address information required for claim resubmission and denial resolution.
• Assist in the development of protocols and workflows to ensure correct billing and maximum reimbursement.
• Maintain understanding of payer websites and content for eligibility purposes and navigation of Practice Management integrated eligibility module.

Qualifications:

• High School Diploma or GED, required
• 3-4 years’ experience in medical billing, required
• Basic knowledge of ICD-10 and CPT Codes, required
• Certificate from technical school in Medical Billing, preferred
• Understanding of Revenue Cycle Management, preferred
• Ability to multi-task with accuracy required, strong organizational skills.
• Strong customer service and communication skills with ability to utilize computer programs.

Grider Support Services, LLC. is proud to be an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. Applicants and employees are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, marital status, or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.

* The pay range listed is a good faith determination of potential base compensation that may be offered to a successful applicant at the time of posting. When determining pay, several factors will be considered including but not limited to location, specialty, service line, years of relevant experience, education, professional credentials, internal equity, and budget.