Billing Specialist, Provider Services (eCW)

13 hours, 23 minutes ago
Full-time
Mid Level
Finance and Accounting
Pavago

Pavago

Pavago specializes in connecting small and medium-sized businesses with skilled offshore talent from Pakistan and Latin America, offering a streamlined recruitment process that enables the hiring, onboarding, and payment of remote employees at signific...

IT Services
Founded 2023

Description

  • Manage the end-to-end professional claims cycle in eClinicalWorks, from charge review and submission through closure.
  • Follow up on clearinghouse rejections and claim statuses, and manage denials, corrected claims, resubmissions, and appeals.
  • Post ERAs and EOBs accurately, including Medicare takebacks and payer recoupments.
  • Review 835 ERA files and interpret CARC/RARC codes to identify payment adjustments and denials.
  • Investigate zero-payment remittances, determine root causes, and take appropriate actions such as rebilling, appealing, or requesting write-offs.
  • Ensure remittances are fully processed and not left partially posted.
  • Maintain detailed claim notes and provide written updates on claim status, payment issues, and resolution progress.
  • Follow billing procedures and escalate complex issues when needed.

Requirements

  • Hands-on eClinicalWorks billing experience, including claims processing, payment posting, and claim status management.
  • Experience with Medicare Part B professional billing.
  • Ability to read 835 ERA files and interpret CARC/RARC adjustment codes.
  • Experience managing denials, corrected claims, resubmissions, and appeals.
  • Knowledge of timely filing requirements and payer follow-up procedures.
  • Strong written English communication skills for claim documentation and updates.
  • Excellent attention to detail and ability to work independently and accurately.
  • Availability for at least 4 hours of daily overlap with U.S. Mountain Time business hours.
  • Completion of HIPAA training, a business associate agreement, and a background check.
  • Experience with Noridian, Medicare Jurisdiction F, provider services billing, takebacks, recoupments, or zero-payment remittances preferred.

Benefits

  • Full-time remote work arrangement.
  • Secure remote eClinicalWorks access and training provided.

Interested in this position?

Apply directly on the company website

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