Company Overview

nimble solutions is a leading provider of revenue cycle management solutions for ambulatory surgery centers (ASCs), surgical clinics, surgical hospitals, and anesthesia groups. Our tech-enabled solutions allow surgical organizations to streamline their revenue cycle processes, reduce administrative burden, and improve financial outcomes. Join more than 1,100 surgical organizations who trust nimble solutions and its advisors to bring deep insights and actionable intelligence to maximize their revenue cycle.

Job Summary

The Pain Management Billing Specialist is responsible for identifying billing errors, analyzing trends, and making data-driven decisions.

Position Requirements:

This position requires a detail-oriented and experienced medical billing specialist who will work closely with the billing and coding departments to ensure that all relevant charges are billed appropriately. Additionally, this position will require a solid understanding of pain management/office procedures, as well as charge & payment department workflows.

Key Responsibilities

Billing and Claim Review

• Process and submit accurate medical claims to insurance companies, worker’s comp, attorneys, and No-fault carriers
• Oversight for all processes to ensure timely filing and clean claim submission

Claims Management

• Follow up on outstanding claims and denials, resolving issues and ensuring appropriate payments based on contracted rates
• Review and resolve claim rejections or underpayments, collaborating with insurance companies, patients, and provider office(s)

Patient Interactions

• Manage patient inquiries regarding billing issues and open balance resolutions.

Account Reconciliation

• Monitor accounts receivables and ensure timely payment from insurance companies and patients
• Tracking the status of submitted claims, identifying, and resolving any billing errors and rejections
• Identifying and addressing outstanding accounts, follow up on overdue payments, and implementing collection strategies when necessary

Who you are: 

• High school diploma or equivalent
• Certifications in medical billing preferred but not required
• At least 2 years of experience in medical billing, with a focus in anesthesia preferred
• Working knowledge of pain management and office procedure codes, terminology, and billing workflow preferred
• Excellent attention to details and strong organizational skills
• Working knowledge of Microsoft Word and Excel 
• Ability to communicate effectively with staff, patients, and client administration if needed

Position Requirements:

• Full-time position
• Remote Work from home
• May involved occasional overtime to meet deadlines