Billing Advocate (Hybrid)

Elevate Patient Financial Solutions is seeking detail-oriented and proactive professionals to join our team as a Billing Advocate . This remote, full-time opportunity offers a consistent schedule of Monday-Friday 8AM-4:30PM . If you're passionate about making a meaningful impact and growing your career in a purpose-driven environment, this is your opportunity to shine!

As a Billing Advocate , you'll be responsible for submitting and following up on inpatient and outpatient claims to government payors. In this role, you'll primarily communicate with insurance payors to verify information, track claim statuses, and resolve outstanding issues-ensuring accurate and timely reimbursement for healthcare services.

Essential Duties and Responsibilities

• Process claims reports and upload all accounts that requires claim submission
• Verify eligibility, member benefits, authorization requirements and billing address of each claim to be submitted
• Review UB04 information, correct claim errors, print and submit each UB04 claim with all the required attachments
• Track receipt of each claim, and periodically call or check online for claim status
• Work the claims dashboard for claim follow-up and documentation
• For claims paid, verify receipt of payment and review if paid in accordance with expected reimbursement
• Refer denied or underpaid claims to appeals team
• Request adjustments to resolve paid, underpaid or denied accounts
• Assist in the preparation of claims reports
• Closely communicate and coordinate with the client hospitals with respect to their accounts
• Respond to other tasks assigned by the department manager
• Other duties as assigned.

Qualifications and Requirements

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or abilities.

• High School diploma required.
• 1+ years' experience in hospital or professional claim billing and follow up preferred.
• 1+ years' experience working in applicable electronic medical records such as EPIC, Cerner, Meditech, etc. preferred.
• Good working knowledge of MS Office, Windows and Exchange email required.
• Excellent customer service skills (friendly, courteous, and helpful).
• Ability to effectively communicate both in writing and verbally, as well as to interact in a professional manner with colleagues, patients, public, and client's staff members.
• Strong analytical and problem-solving skills a must
• Ability to multi-task; excellent organizational and planning skills required.
• Remote and Hybrid positions require a home internet connection that meets the company's upload and download speed criteria.

Benefits
ElevatePFS believes in making a positive impact not only within our industry but also with our employees -the organization's greatest asset! We take pride in offering comprehensive benefits in a vast array of plans that contribute to the present and future well-being of our employees and their families.

• Medical, Dental & Vision Insurance
• 401K (100% match for the first 3% & 50% match for the next 2%)
• 15 days of PTO
• 7 paid Holidays
• 2 Floating holidays
• 1 Elevate Day (floating holiday)
• Pet Insurance
• Employee referral bonus program
• Teamwork: We believe in teamwork and having fun together
• Career Growth: Gain great experience to promote to higher roles

The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, location, specialty and training. This pay scale is not a promise of a particular wage.

The job description does not constitute an employment agreement between the employer and Employee and is subject to change by the employer as the needs of the employer and requirements of the job change.

ElevatePFS is an Equal Opportunity Employer

Pay Range: $18.00 - $22.50 per hour