Remote Medical Billing Specialist

Position Overview As a Remote Medical Billing Specialist at Ideal Option PLLC, you will be an integral member of our billing department, responsible for managing medical claims and ensuring timely reimbursements from various insurance entities. This position requires a Bachelor’s Degree along with a minimum of one year of relevant experience in medical billing. Your expertise will not only contribute to the financial health of our organization but will also play a crucial role in our mission to provide essential care to those struggling with substance use disorders. About the Organization Ideal Option PLLC has been at the forefront of addressing the opioid epidemic since 2012, operating more than 80 clinics across nine states. Our commitment is to provide low-barrier, evidence-based treatment options for opioid use disorder, aiming to restore lives, reunite families, and heal communities affected by addiction. We believe in treating both our patients and employees with the utmost respect and compassion, fostering a work environment that is supportive and nurturing.

Work Environment

This role is fully remote, allowing flexibility in your work setting while maintaining a consistent 40-hour work week from Monday to Friday. You will collaborate with a team of dedicated professionals who share a common goal of improving patient outcomes through meticulous billing practices. The remote setting empowers you to create a productive workspace conducive to focus and efficiency.

Key Responsibilities

In your role as a Medical Billing Specialist, your day-to-day responsibilities will include:

• Submitting medical claims to various insurance providers, including Medicare and Medicaid, ensuring accuracy and compliance.
• Engaging directly with insurance companies, healthcare providers, and patients to resolve claim processing issues and obtain timely payments.
• Reviewing and appealing denied or unpaid claims, employing problem-solving skills to navigate administrative challenges effectively.
• Processing refund requests for both patients and insurers in a timely manner while accurately posting all payments or denials.
• Utilizing coding data to produce and submit claims and utilizing our electronic medical record systems, including eCW.
• Keeping abreast of billing rules and trends by participating in relevant training and workshops.
• Assisting patients with verifying insurance benefits and guiding them through the application for charity or Medicaid programs.
• Ensuring that department goals regarding claims follow-up and processing timelines are consistently met.
• Maintaining accurate billing records and spreadsheets, updating our billing software with any rate changes, and monitoring collection accounts.

Patient Population / Client Focus At Ideal Option, you will primarily engage with patients dealing with substance use disorders and their families, providing needed assistance regarding their insurance processes. Your role directly impacts their access to care by ensuring that they receive the necessary services that can lead to recovery. By managing billing and claims meticulously, you contribute to the financial sustainability of our clinics, enabling them to focus on delivering high-quality treatment.

Qualifications

To be considered for this position, candidates must meet the following qualifications:

• A Bachelor’s Degree in a relevant field is required.
• A minimum of one year of direct experience in medical billing is essential.
• Proficiency in Microsoft Office Suite and familiarity with medical billing software.
• Excellent verbal and written communication skills, with the ability to convey information clearly to patients and insurance providers.

Preferred Experience While not mandatory, having knowledge of the healthcare system, specifically in relation to substance use treatment, will be advantageous. An understanding of chemical dependency and its impact on individuals and families can enhance your effectiveness in this role. Additionally, experience with various payer portals and electronic billing processes will be beneficial.

Compensation and Benefits

Your commitment as a Medical Billing Specialist is valued, with a competitive hourly rate ranging from $17 to $18, based on experience. We offer a comprehensive benefits package that includes:

• Medical, vision, and dental insurance coverage.
• Short-term and long-term disability options.
• Life insurance and employee assistance programs.
• A 401K retirement plan to help you secure your financial future.
• Pet insurance for your furry family members.
• Generous paid time off and holiday leave to promote work-life balance.

Career Growth Opportunities

Ideal Option is dedicated to fostering professional development. Employees are encouraged to pursue additional training, attend workshops, and participate in seminars that enhance their skill sets and knowledge in medical billing practices. Opportunities for advancement within the organization are abundant, allowing you to grow alongside a compassionate and mission-driven team. Why Join Our Team Joining Ideal Option means becoming part of a community that is making significant strides in addressing one of the most pressing health crises of our time. You will work in a supportive environment where your contributions make a tangible difference. We pride ourselves on a workplace culture that treats each individual with respect and empathy, ensuring that both employees and patients receive the best care possible. Application Information If you are excited about the opportunity to contribute to a meaningful cause and meet the qualifications outlined above, we invite you to apply for the Remote Medical Billing Specialist position at Ideal Option PLLC. Please submit your resume and cover letter detailing your experience and interest in joining our team.