AR Billing Specialist

2 days ago

🗽 New York – Remote

Although this job is listed in New York, this company may be open to hiring remote in other states.

💵 $24 - $27 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

📊 Billing Specialist

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Valera Health

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Valera Health is a company that offers compassionate mental healthcare through a comprehensive and inclusive approach. The company provides therapy and psychiatry services for adults and teens, utilizing a tele-mental health platform that allows patients to connect to their care team from anywhere with internet access. Valera Health's services are available in multiple states including New York, New Jersey, Massachusetts, Vermont, and Washington, and they are in-network with many insurance plans. The company's mission is to support patients' wellness through a collaborative care team comprised of patients, therapists, and psychiatrists, using flexible scheduling within a secure technology platform.

Population Analytics • Data Analytics • Care Management • Integrated Care

201 - 500 employees

⚕️ Healthcare Insurance

📡 Telecommunications

🧘 Wellness

💰 $45M Venture Round on 2022-10

📋 Description

• The Valera Health Accounts Receivable Specialist is responsible for managing medical billing and collections to ensure timely reimbursement from insurance companies, government programs, and patients. • Key responsibilities include processing claims, following up on unpaid or denied claims, resolving billing discrepancies, posting payments, and maintaining accurate financial records. • The role requires a strong understanding of medical billing, insurance policies, and revenue cycle management. • Attention to detail, problem-solving skills, and proficiency in healthcare billing software are essential. • The AR Specialist works closely with insurance providers, patients, and internal teams to optimize revenue recovery while ensuring compliance with healthcare regulations.

🎯 Requirements

• Proactive resolution of revenue cycle issues and timely response to questions and concerns from patients and payers. • Researches and reviews denied claims to ensure billing was appropriate and make corrections as needed. Sending appeals, reconsiderations, or resubmissions to payers as needed. • Answering patient and insurance calls; prompt return and follow up to all interactions; prompt response to requests for information, both internally and externally. • Take appropriate actions in Billing Software such as claim edits, rebills, and adjustments as needed to resolve claims and patient accounts. • Maintain and update patient billing information such as insurance and other demographics for claim reimbursement • Coordinate with patients regarding outstanding balances • Coordinate with patients regarding payment plans. • Answer calls & emails from patients with a 48-hour turnaround time. • Identify missing payments, overpayments and analyze credits on accounts. • Reviews and finds trends or patterns of denials to prevent errors • Assists and confers with coder and AR supervisors concerning any coding problems. • Supports and participates in process and quality improvement initiatives.

🏖️ Benefits

• Health, Vision & Dental Insurance • 401k through the Standard • Paid Time Off • Short Term Disability • Life Insurance • Office Equipment • Many more