Billing Specialist, Provider Services (eCW)

13 hours, 22 minutes ago
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

  • Lead, coach, and manage a team of 5–6 billers, including daily productivity reviews, weekly team meetings, and one-on-one check-ins.
  • Assign billing work queues and practices to designated billers and address performance gaps promptly.
  • Manage current claims and claims aged over 90 days, prioritizing work by timely filing and appeal deadlines.
  • Monitor claim progress, collect or properly close outstanding balances, and improve clean-claim submission performance.
  • Oversee denial management, track denial trends, and implement eCW rules, workflow improvements, and front-end fixes.
  • Resolve complex billing issues and oversee corrected claims, reopenings, redeterminations, and appeals.
  • Oversee payment posting, including zero-payment remits, ERAs, payer recoupments, and takebacks.
  • Prepare documented write-off requests and manage accurate month-end billing close activities.
  • Serve as the primary eClinicalWorks billing expert, troubleshoot issues, and coordinate with the eCW vendor team.
  • Review eCW reports and lead agency billing review calls to communicate performance, challenges, and results.

Requirements

  • 5+ years of physician-practice claims billing experience, including CMS-1500 and 837P claims.
  • At least 2 years of experience leading or managing a billing team.
  • Expert hands-on eClinicalWorks billing experience, including claim screens, work queues, payment posting, and billing reports.
  • Knowledge of Medicare Part B, Medicare Advantage, Medicaid, and commercial payer billing.
  • Understanding of timely filing requirements, reopenings, redeterminations, and appeal processes.
  • Demonstrated success reducing aged accounts receivable backlogs with measurable results.
  • Ability to interpret ERAs and CARC/RARC codes.
  • Strong Excel, written communication, leadership, organization, problem-solving, and performance-management skills.
  • Ability to work full-time remotely with at least 4 hours of daily overlap with U.S. Mountain Time business hours.
  • Completion of HIPAA training, signing of a business associate agreement, and successful background check.
  • Experience with hub-and-spoke billing environments, wound care, chronic care management, palliative care, or telehealth billing (preferred).
  • Experience with Noridian, Waystar, eCW work queue rules, or eBO reporting; AAPC CPB/CPC or HFMA CRCR certification (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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