Medical Billing Specialist

Job Description

Job Description

Description:

Medical Billing Specialist

Remote

Do you have experience working with medical systems and a genuine passion for helping others? Are you a strong communicator who enjoys solving problems, connecting with people, and making a difference—even during challenging conversations?

KeyBridge Medical Revenue Care is looking for a compassionate, detail-oriented Medical Billing Specialist to join our team.

If you thrive in a fast-paced environment, know your way around medical systems, and believe great service starts with treating people like people, you may be exactly who we’re looking for.

About KeyBridge

At KeyBridge, we believe exceptional patient care starts with supporting exceptional people. As an 18-time Best Places to Work winner, we’ve built a culture centered around compassion, integrity, teamwork, and excellence.

Our mission is simple: bridge the gap between healthcare providers and their patients by delivering respectful, empathetic financial care in a call-center environment.

We Work Hard — But We Have Fun, Too! 

Being a Best Places to Work winner isn’t just about the work we do—it’s also about the people we do it with.

Throughout the year, we make time to connect, laugh, and enjoy a little friendly competition. Battle for bragging rights at our annual Chili Cookoff,  show off your most wonderfully questionable attire during our Ugly Sweater Contest, or eat, dance, laugh, and connect with colleagues at our annual Christmas Party.

Because while we take our work and our commitment to patients seriously, we believe there should always be room for connection, celebration, and a little fun along the way.

And if you have a championship-worthy chili recipe… you might want to start perfecting it now. 

What You'll Do

A Medical Billing Specialist is responsible for completing insurance follow up, credit review and processing, medical coding review and correction where applicable, billing/rebilling of insurance claims, appeals and other necessary follow up on insurance claims, legacy system clean ups or other ancillary projects as outlined in our client contracts and defined through collaboration with our clients. 

Key performance objectives in order of priority with ideal time allocation are:

1. Utilizes industry knowledge of healthcare billing systems, clearinghouse, insurance web sites, insurance billing and follow-up processes to perform special   projects for clients researches insurance denials, inactive insurance claims   and credits to determine reason for credit or nonpayment, and processes for resolution. 

2. Collaborates  with clients, other team members, and management for the successful completion  of projects. 

3. Builds and maintains rapport, while fostering new and existing positive relationships and promoting our core values. 

Note: Twenty percent of time is reserved for ancillary responsibilities, unplanned activities, and interruptions. 

What We're Looking For

If you're looking for an opportunity where you can use your communication skills, medical-system experience, and problem-solving abilities to help patients—and join a team that knows how to work hard and enjoy the people they work with—we'd love to hear from you.

Bring your experience. Bring your compassion. Bring your personality.

We'll bring the fun!

Essential Job Functions

Interpersonal Responsibilities 

1. Completes any tasks and/or projects assigned professionally and in a timely manner.

2. Complies with all applicable laws and agreements.

3. Possesses a positive attitude and is self-motivated.

4. Possesses excellent organizational and communication skills.

5. Computer literate and has experience with Microsoft Office – Outlook, Word, and Excel.

6. Assures KeyBridge’s positive reputation is established and maintained through professional interactions and strong relationships with clients, patients, employees, management, and the public. Fosters relationships with team members.

7. Encourages and seeks opportunities for collaborative efforts, seeks understanding of issues, anticipates and troubleshoots problems, and resolves urgent and ongoing matters.

Operational Responsibilities

1. Uses and understands supplied software programs and tools, which may include but is not limited to, client systems, payor sites, clearinghouse, scanned document libraries and client email accounts. 

2. Possesses knowledge and experience necessary to research insurance denials, inactive insurance claims and credits to determine reason for credit or nonpayment. 

1. Works within hospital systems for claims processing, as well as Availity, Navinet, MITS, and Quadax.

3. Completes submission of claims to insurance companies, verification of receipt.

2. Investigates denied claims and works through the follow-up process.

4. Collaborates with our clients and other team members for the successful completion of projects.

5. Train/mentors other team members when requested.

6. Documents activity in prescribed systems, follows processes as agreed upon by KeyBridge and its clients.

7. Provides feedback for establishing processes, suggestions for improvement and develops reporting, informational documentation and/or tracking mechanisms as necessary.

8. Tracks personal productivity and provides documentation and feedback necessary for reporting productivity to clients and management. 

9. Assists with Supply Chain and Integration tasks.

Organizational Responsibilities

1. Contributes to the completion of strategic projects and initiatives.

2. Actively participates in moral boosting activities, programs, and committees.

3. Embraces the company Vision and Mission and brings our Core Values to life.