Experienced Government Billing Specialist 2 - Remote Business Office Expert

Unlock a Rewarding Career in Government Billing with Our Leading Organization Are you a detail-oriented and analytical individual with a passion for billing and a desire to work in a dynamic, remote environment? Our company is seeking a highly skilled Government Billing Specialist 2 to join our Business Office team. As a key member of our team, you will play a critical role in ensuring the timely and accurate processing of government claims, driving revenue cycle success, and contributing to the overall financial health of our organization. About Our Organization and the Industry Our company operates at the forefront of the healthcare industry, providing critical services and support to healthcare providers and patients alike. As a Government Billing Specialist 2, you will be an integral part of our Business Office team, working closely with various stakeholders to resolve billing issues, optimize claim submissions, and ensure compliance with regulatory requirements. With a strong focus on innovation and customer satisfaction, our organization offers a stimulating and supportive work environment that is perfect for professionals looking to grow and develop their skills. Key Responsibilities Work on and edit daily downloads of assigned Governmental Program claims, adhering to regulatory, contractual, compliance, and BHSF mandates/guidelines. Optimize the timely transmittal of accurate and clean claims to achieve daily set thresholds, protecting payer filing deadlines by utilizing all available resources to resolve held claims. Communicate effectively with various BHSF departments responsible for Revenue Cycle delays, collaborating with Billing Management to achieve resolution and drive process improvements. Train new employees and assist management with auditing queues during the probation period, ensuring seamless onboarding and high-quality performance. Serve as a backup to bill all carriers, taking on additional queues as needed to support the team and drive business continuity. Analyze and resolve complex billing issues, leveraging knowledge of government regulations, medical terminology, and coding guidelines to drive accurate and timely claim submissions. Essential and Preferred Qualifications Education and Experience While a High School diploma, Certificate, GED, or equivalent is required, a Bachelor's degree (BA) is preferred. You should have 4-7 years of prior experience in billing claims, with a strong background in Medicare or Medicaid Billing. Current BHSF employees must have a high "fully meets" or "exceeds" merit rating (3.5 - 4.0). Certifications and Skills CPC, CPC-H, CCS, or RMC certifications are a plus, demonstrating your expertise and commitment to the field. You should possess extensive knowledge of government-related regulations, including National, State, and Local guidelines for Medicare, Medicaid, and Champus/Tricare. Medical Necessity and Correct Coding Initiative knowledge is also essential. Key skills required for success in this role include: Analytical and critical thinking skills to analyze complex billing issues and drive resolution. Detail-oriented and problem-solving skills to ensure accurate and timely claim submissions. Excellent time management and multitasking skills to meet daily transmission targets and work under pressure. Strong interpersonal and communication skills to collaborate with various stakeholders and drive business outcomes. Proficiency in Microsoft Suite and online verifications (DDE), with a strong understanding of medical terminology, Revenue Codes, DRG guidelines, ICD9/10, CPT4, Modifiers, and HCPC codes. Career Growth Opportunities and Learning Benefits As a Government Billing Specialist 2, you will have opportunities to develop your skills and expertise in a dynamic and supportive environment. Our organization is committed to providing ongoing training and development programs to help you stay up-to-date with industry trends and best practices. You will also have the chance to work on complex billing issues, collaborating with various stakeholders to drive business outcomes and contribute to the overall success of our organization. Work Environment and Company Culture Our company culture is built on a foundation of innovation, teamwork, and customer satisfaction. As a remote Business Office team member, you will enjoy a flexible and stimulating work environment that is perfect for professionals looking to work from home. We prioritize work-life balance, offering a range of benefits and perks to support your overall well-being and job satisfaction. Compensation and Benefits We offer a competitive salary range of $17.02 - $20.59 per hour, depending on experience. Our comprehensive benefits package includes a range of perks and rewards to support your financial security, health, and well-being. While specific details are not provided here, you can expect a generous and supportive compensation package that reflects our commitment to attracting and retaining top talent. Join Our Team! If you are a motivated and detail-oriented professional with a passion for billing and a desire to work in a dynamic, remote environment, we encourage you to apply for this exciting opportunity. Even if you feel you're not a perfect match, we'd still love to hear from you. We are looking for great people to join our friendly team and contribute to our ongoing success. Don't miss this chance to unlock a rewarding career in government billing with our leading organization. Apply today and take the first step towards a fulfilling and challenging role that will drive your growth and success! Apply for this job