Billing and Claims Specialist

3 days ago

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Pacify

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Breastfeeding • Telehealth • Nutrition • Medicaid • WIC

2 - 10

💰 $1.1M Seed Round on 2015-03

Description

• Collaborate with Clinical and Client Services, Business Development, and others to ensure that Revenue Cycle Management operations are effectively integrated. • Oversee the end-to-end revenue cycle process, ensuring timely and accurate billing, collections, and claims management. • Communication of payer policy updates and changes to Pacify leaders as applicable. • Prepare and present regular reports on operational performance, revenue cycle metrics, and team achievements to senior management.

Requirements

• Bachelor’s degree in Business Administration, Healthcare Management, or a related field; Master’s degree preferred. • 5+ years of experience in billing and claims within a healthcare setting. • Demonstrated experience with revenue cycle management, billing processes, and payroll administration. • Previous experience with managing a revenue cycle integration / transformation that includes business process reengineering, technology integration, and sustained performance at the top quartile in revenue cycle key performance metrics. • Significant experience with governmental and non-governmental payers in the provider setting, and demonstrated extensive experience in administering rules and regulations affecting reimbursement for healthcare services. • Experience implementing, stabilizing and optimizing technology implementations. • Positive attitude with excellent interpersonal, communication and presentation skills. • Strong analytical and problem-solving abilities. • Ability to work collaboratively and build effective relationships across teams. • One of two professional coding certifications/licensures: American Academy of Professional Coders (AAPC) - Certified Professional Coder (CPC) or American Health Information Association (AHIMA) - Certified Coding Associate (CCA).