Talent.com
Billing Specialist
Billing SpecialistSoleo Health • Frisco, TX, United States
Billing Specialist

Billing Specialist

Soleo Health • Frisco, TX, United States
1 day ago
Job type
  • Full-time
Job description

Job Type

Full-time

Description

Soleo Health is seeking a Billing Specialist to support our Specialty Infusion Pharmacy and work Remotely (USA). Join us in Simplifying Complex Care!

Home infusion experience required, and must work Monday-Friday 8 : 30a-5p Eastern Time.

Soleo Health Perks :

  • Competitive Wages
  • 401(k) with a Match
  • Referral Bonus
  • Paid Time Off
  • Great Company Culture
  • Annual Merit Based Increases
  • No Weekends or Holidays
  • Paid Parental Leave Options
  • Affordable Medical, Dental, and Vision Insurance Plans
  • Company Paid Disability and Basic Life Insurance
  • HSA and FSA (including dependent care) Options
  • Education Assistance Program

The Position :

The Billing Specialist will primarily be responsible for insurance and self-pay billing, excluding Medicare. This role is also responsible for submitting electronic and paper claims. Follows up with clearing house vendors on accepted and working rejections. Responsibilities include :

  • Preparation of accurate medical claims based on contracted agreements for services to various payers (e.g. Commercial Payers, Government Payers, Employer / Institutional Payers).
  • Reviewing and identifying claims pricing discrepancies based on updates / changes to fee schedules.
  • Creates and submits secondary electronic pharmacy and medical claims in a timely manner.
  • Billing of manufacturer copays, which includes entering the necessary information into portal or billing via paper at time of initial billing.
  • Monitors billing requirements pursuant to contracts with third party payers or government programs.
  • Answer insurance / billing questions from branch staff and help educate.
  • Review information from electronic medical records in patient account (IE : auth, benefit verification, orders, accounts receivable, etc.) to ensure preparation and submission of clean claims.
  • Perform routine revenue review of claims billed within the current month.
  • Answering incoming calls and triage if necessary.
  • Create claim batches and process them via electronic submission.
  • Manually process any claims that are not eligible for electronic billing. Identify any claims that need attention, make corrections, and resubmit.
  • Ensure coding to the highest level of specificity and for maximum reimbursement by third party payers.
  • Daily review and follow up of unbilled delivery tickets in billing review and ready to bill queues.
  • Accurately notate patient accounts to reflect all actions made including marginal, split claim notes, missing COGS, etc.
  • Coordinates with the pharmacy team daily to ensure any PBM issues are addressed and resolved, accepted into revenue and billed timely
  • Effectively utilize time and resources to meet performance goals.
  • Provides exceptional Customer service to internal and external customers.
  • Ensures compliance with federal, state, and local governments, third party contracts, and company policies.
  • Clearly communicate any billing related issues to all appropriate parties including : Intake, collections, RBL, and manager.
  • Monitoring the unbilled-pending invoices queues and communicate to the branch on missing or needed documents or information.
  • Maintain current knowledge of departmental and organizational policies.
  • Schedule :

  • Monday-Friday 8 : 30a-5p Eastern Time.
  • Requirements

  • Home infusion experience required.
  • High School Diploma or equivalent. 1+ years' experience in medical billing preferred.
  • Knowledge of HCPC coding and medical terminology.
  • Experience providing customer service to internal and external customers.
  • Must be dependable. Excellent phone and email communication skills.
  • Working knowledge of ICD10, CPT, NCCI; must be familiar with modifier application and standard billing regulations.
  • The ideal candidate will have experience with infusion and specialty pharmacy billing
  • About Us : Soleo Health is an innovative national provider of complex specialty pharmacy and infusion services, administered in the home or at alternate sites of care. Our goal is to attract and retain the best and brightest as our employees are our greatest asset. Experience the Soleo Health Difference!

    Soleo's Core Values :

  • Improve patients' lives every day
  • Be passionate in everything you do
  • Encourage unlimited ideas and creative thinking
  • Make decisions as if you own the company
  • Do the right thing
  • Have fun!
  • Soleo Health is committed to diversity, equity, and inclusion. We recognize that establishing and maintaining a diverse, equitable, and inclusive workplace is the foundation of business success and innovation. We are dedicated to hiring diverse talent and to ensuring that everyone is treated with respect and provided an equal opportunity to thrive. Our commitment to these values is evidenced by our diverse executive team, policies, and workplace culture.

    Soleo Health is an Equal Opportunity Employer, celebrating diversity and committed to creating an inclusive environment for all employees. Soleo Health does not discriminate in employment on the basis of race, color, religion, sex, pregnancy, gender identity, national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an organization, parental status, military service or other non-merit factor.

    Keywords : billing, accounts receivable, now hiring, hiring immediately, representative

    Salary Description

    $19-$23 Per Hour

    Create a job alert for this search

    Billing Specialist • Frisco, TX, United States

    Related jobs
    Senior Accountant - Temporary (Year-End Support)

    Senior Accountant - Temporary (Year-End Support)

    Beacon Hill • Addison, TX, US
    Full-time
    We are seeking an experienced Senior Accountant to provide critical support during year-end close activities, including balance sheet reconciliations, audit preparation, and variance analysis.This ...Show more
    Last updated: 17 days ago • Promoted
    Legal Billing Specialist

    Legal Billing Specialist

    Frontline Source Group • Dallas, TX, United States
    Permanent
    Our client in Dallas, Texas is currently looking for a skilled Legal Billing Specialist to join their team on a direct hire basis. This is a fantastic opportunity to become part of a dynamic and exp...Show more
    Last updated: 1 day ago • Promoted
    Billing Technician II

    Billing Technician II

    VirtualVocations • Garland, Texas, United States
    Full-time
    A company is looking for a Billing Technician II (Remote).Key Responsibilities Research and respond to complex patient inquiries regarding billing issues Review billing forms for accuracy and as...Show more
    Last updated: 6 days ago • Promoted
    Substance Abuse Disorder Billing Expert (SUD)

    Substance Abuse Disorder Billing Expert (SUD)

    Plutus Health Inc • Dallas, TX, United States
    Full-time +1
    We offer end-to-end business solutions to healthcare providers in the United States, ensuring that all our services are fully compliant with HIPAA regulations. Our team has extensive experience in t...Show more
    Last updated: 1 day ago • Promoted
    Billing Representative

    Billing Representative

    Parkland Health and Hospital System • Dallas, TX, US
    Full-time
    Interested in a career with both meaning and growth? Whether your abilities are in direct patient care or one of the many other areas of healthcare administration and support, everyone at Parkland ...Show more
    Last updated: 30+ days ago • Promoted
    Billing Specialist

    Billing Specialist

    Meriton • Irving, TX, United States
    Full-time
    Meriton is a national team of experts driving HVAC innovation through a network of high-performing companies.From strategy and support to systems and solutions, we work behind the scenes to strengt...Show more
    Last updated: 1 day ago • Promoted
    Accounting Technician I

    Accounting Technician I

    American National Bank of Texas • Terrell, TX, United States
    Full-time
    The Accounting Technician performs a variety of clerical and accounting support functions for the accounting department.Tasks in this role varies based upon assignment. Enters accounts payable / expen...Show more
    Last updated: 11 days ago • Promoted
    Senior Billing Specialist

    Senior Billing Specialist

    Consultative Search Group • Dallas, TX, United States
    Full-time
    Position is Remote, with Flexibility.Locations : NYC, LA(Century City and DTLA), Orange County, Wash DC, Bay Area (SF & Palo Alto), Dallas). A Top Ranked Global Law Firm which advises clients on sign...Show more
    Last updated: 1 day ago • Promoted
    Billing Specialist

    Billing Specialist

    Vital Care Infusion Services • Dallas, TX, United States
    Full-time
    Recognized as a "Best Place to Work Modern Healthcare" - Join a team where people come first.At Vital Care, we are committed to creating an inclusive, growth-focused environment where every voice m...Show more
    Last updated: 1 day ago • Promoted
    Billing Specialist

    Billing Specialist

    LHH Recruitment Solutions • Irving, TX, United States
    Full-time
    A leading organization in the equipment and services sector is seeking a detail-driven.This role is ideal for someone who thrives in a fast-paced environment, enjoys solving billing discrepancies, ...Show more
    Last updated: 1 day ago • Promoted
    Billing Specialist

    Billing Specialist

    Greenrise Technologies • Lewisville, TX, United States
    Full-time
    Billing Specialist is responsible for the timely and accurate execution of all tasks associated with billing Greenrise Technologies clients for construction project billing (AIA) and other projects...Show more
    Last updated: 1 day ago • Promoted
    Billing clerk

    Billing clerk

    Trophy Nissan • Mesquite, TX, United States
    Full-time
    Berkshire Hathaway Automotive, a leader in automotive retail and we are looking to add a qualified.If you are in alignment with our values of integrity, transparency, professionalism and teamwork -...Show more
    Last updated: 1 day ago • Promoted
    Billing Specialist

    Billing Specialist

    baymark • Lewisville, TX, United States
    Full-time
    Position at BayMark Health Services.BayMark Health Services is looking for an organized, analytical and detail oriented Billing Specialist to manage billing processes and claims submissions.Additio...Show more
    Last updated: 1 day ago • Promoted
    E-Billing Specialist

    E-Billing Specialist

    Fox Rothschild • Dallas, TX, United States
    Full-time
    As a member of the Accounting Department, the Electronic Billing (E-Billing) Specialist is responsible for processing client bills, answers billing inquiries and assists in the monitoring and follo...Show more
    Last updated: 1 day ago • Promoted
    Billing Specialist

    Billing Specialist

    Medix • Irving, TX, United States
    Full-time
    You are applying for a position through Medix, a staffing agency.The actual posting represents a position at one of our clients. Our client is seeking a qualified Medical Billing Specialist to proce...Show more
    Last updated: 1 day ago • Promoted
    Billing Specialist

    Billing Specialist

    Hearst • Dallas, TX, United States
    Full-time
    Homecare Homebase is searching for a Home Health and Hospice Medical Biller who will be responsible for complete and accurate billing and collections of all claims submitted for payment to non-Medi...Show more
    Last updated: 1 day ago • Promoted
    Billing Specialist

    Billing Specialist

    Blue Science, LLC • Flower Mound, TX, US
    Full-time
    Blue Science is one of America’s largest, most experienced, and most awarded pool service companies.We service customers in all the major Texas and Florida Metro Areas.Blue Science, founded i...Show more
    Last updated: 30+ days ago • Promoted
    Billing Specialist

    Billing Specialist

    LHH • Irving, TX, US
    Full-time
    A leading organization in the equipment and services sector is seeking a detail-driven.This role is ideal for someone who thrives in a fast-paced environment, enjoys solving billing discrepancies, ...Show more
    Last updated: 12 days ago • Promoted