<div> <div><b>Job Title: Billing Specialist - HRS - Part-time - up to 25 hours per week</b></div> <div> </div> <div><b>Job Summary</b></div> <div>The Billing Specialist Consultant provides medical billing and collections expertise during customer engagements. This role requires knowledge of medical billing and collections processes for governmental and commercial insurance payers. Responsibilities include managing open Accounts Receivable (A/R), contacting insurance companies, generating and resubmitting claims, and resolving outstanding balances to optimize reimbursement and reduce A/R. This position requires the ability to shift priorities and support evolving client and Revenue Cycle initiatives as business needs arise.</div> <div> </div> <div>The ideal candidate is dependable, professional, adaptable, and committed to supporting both customer success and team goals.</div> <div> </div> <div><b>Knowledge Areas</b></div> <ul> <li>Governmental and Commercial Billing</li> <li>Eligibility Verification</li> <li>Aging A/R Follow-Up</li> <li>Denial Remediation</li> <li>837 Claim Resubmission</li> <li>EOB/ERA Cash Posting</li> <li>835 Remit Interpretation</li> <li>Claim Clearinghouse Processes</li> <li>Reason and Remark Codes</li> <li>Prior Authorization Requirements</li> <li>Patient Data Validation</li> <li>CPT Codes and Modifiers</li> <li>ICD-10 Diagnosis Codes</li> <li>Insurance Websites and Portals</li> <li>Epic, MEDITECH, and Cerner systems</li> </ul> <div>Travel is generally not required. Most engagements are performed remotely.</div> <div> </div> <div><b>Essential Functions</b></div> <ul> <li>Perform billing and collections duties as assigned.</li> <li>Maintain and prioritize weekly worklists with the goal of optimizing revenue and reducing A/R.</li> <li>Support client-driven Revenue Cycle and Billing projects as business needs evolve.</li> <li>Demonstrate flexibility and willingness to assist with operational priorities outside of routine responsibilities when needed.</li> <li>Identify and report system or process issues to management.</li> <li>Maintain professionalism, honesty, and integrity in all interactions.</li> <li>Protect PHI and maintain compliance with HIPAA and company data security standards at all times.</li> </ul> <div> </div> <div><b>Required Skills</b></div> <ul> <li>Medical billing and collections experience with governmental and/or commercial payers.</li> <li>Knowledge of payer requirements and billing regulations.</li> <li>Experience with MEDITECH Expanse.</li> <li>Experience working Facility and Professional claims.</li> <li>Strong organizational, analytical, and problem-solving skills.</li> <li>Ability to adapt quickly, take ownership of emerging needs, and work collaboratively in a fast-paced environment.</li> <li>Ability to work independently in a remote setting while maintaining productivity and professionalism.</li> <li>Private and secure remote workspace required to protect PHI.</li> </ul> <div> </div> <div><b>Preferred Skills</b></div> <ul> <li>Strong communication skills and ability to work effectively under pressure.</li> <li>Team-oriented professional with a strong work ethic and customer-focused mindset.</li> <li>Certification in Medical Billing/Collections or 5+ years of related experience.</li> <li>Experience with Epic, MEDITECH, and Cerner EMR systems.</li> <li>Intermediate to advanced Microsoft Excel skills.</li> <li>Demonstrated commitment to customer satisfaction and operational excellence.</li> </ul> <div> </div> <div><b>Language Skills:</b></div> <div>Ability to read, analyze and interpret general business periodicals, professional journals, technical procedures or governmental regulations. Ability to write reports, business correspondence and procedure manuals. Ability to effectively present information and respond to questions from a variety of both internal and external sources. </div> <div> </div> <div><b>Physical Capabilities:  Standard categories</b></div> <div>The physical capabilities described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.</div> <div> </div> <div>While performing the duties of this job, the employee is regularly required to sit; use hands to finger, handle, or feel; reach with hands and arms; and talk or hear. The employee is occasionally required to stand and walk. The employee must occasionally lift and/or move up to 10 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and ability to adjust focus.</div> <div> </div> <div>RevSpring is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.</div> <div> </div> <div><b>Note:</b> This Job Description may not describe all of the job responsibilities and standards assigned to this position. The duties may change from time to time.  RevSpring does not discriminate against any group in hiring or employment practices.  Nothing in this job description constitutes a contract for employment.</div> </div><br>