As a Senior Billing Specialist, your primary responsibility is to assist with any special projects assigned by the Billing Manager or Director of RCM. Review and assist with the billing team’s work. Identifying errors and streamline the process of billing all claims. Your job duties will also include assisting Lead Biller with work assignments and training.
Medix Infusion is a technology-driven healthcare platform dedicated to enhancing patient care and access to infusion therapies. We specialize in disease management and infusion pharmacy services for chronic and acutely ill patients, especially those in underserved communities. We offer personalized home and in-suite infusion therapies, ensuring convenience and comfort. Our expert team provides a comprehensive range of treatments, including anti-infectives, biologics, IVIG, and other injectables, making each patient’s journey as smooth as possible.
Key Responsibilities:
· Assist Lead Biller in mentoring the billing department staff.
· Handle special projects as assigned.
· Review and analyze daily workflow to ensure accurate coding and billing.
· Communicate professionally with other departments and stakeholders.
· Assist in enforcing policies and procedures related to billing and coding.
· Assist rejected electronic claims and manually process any claims not eligible for electronic submission.
· Monitor unbilled appointments and ensure timely billing.
· Collaborate with Intake and Nursing departments to ensure accuracy and timeliness.
Required Qualifications:
· High school diploma or equivalent; Further education or certifications in healthcare or related fields are a plus.
· Minimum of 5 years of experience in revenue cycle.
· Excellent understanding of healthcare billing, coding, and reimbursement processes.
· Strong knowledge of insurance guidelines, including Medicare, Medicaid, and commercial payers.
· Familiarity with pharmacy and HIT billing.
· Proficiency with ICD-10 coding.
· Ability to handle sensitive and confidential information, with a strong knowledge of HIPAA privacy guidelines.
· Strong analytical skills and attention to detail.
· Excellent verbal and written communication skills with the ability to prioritize and negotiate effectively.
WORK ENVIRONMENT
The work environment characteristics described here are representative of those the employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Equal Opportunity Employer that Prohibits Discrimination and Harassment of any kind. The organization is committed to the principles of equal employment opportunity for all employees and to providing employees with a work environment free of discrimination and harassment.
· Noise level in the work environment is usually moderate
· The employee is exposed to outside weather conditions when traveling