Billing & Posting Resolution Advocate (ECW and RCM)

The Billing and Posting Resolution Advocate is responsible for overseeing claims production, billing, follow-up, collections, and compliance with third party payer regulations. Daily billing of insurance claims, follow up on unpaid claims, denial management and filing appeals when appropriate to obtain maximum reimbursement. Review daily, weekly, and monthly reports.

Essential Functions: In addition to working as prescribed in our Performance Factors specific responsibilities of this role include:

• Possess complete understanding of the billing/collection process to resolve complex, outstanding claims.

• Ensures accounts are billed accurately and timely by providing proactive oversight and direction for billing and collections.

• Maintains current knowledge of hospital billing systems and government payer systems, including applicable federal/state laws and regulations, as well as all aspects of third-party reimbursement policies and practices

• Pro-active communication/escalation of potential claims/unbilled accounts/issues to the Team Lead

• Exhibits excellent leadership and self-direction, good judgement in handling difficult situations and good organizational, time management, interpersonal and conflict resolution skills.

• Assures that confidentiality of patient information is maintained without exception

• Attends all required meetings and activities, maintaining a professional affiliation to stay abreast of current trends and changes in legislation and industry best practices.

• Be a point of contact for billers needing guidance to complete a task.

• Performs all other duties assigned

Minimum Requirements:

Education/Experience/Certification Requirements

• High school graduate or GED equivalent

• 3 years previous hospital billing experience (ECW and RCM) 

• Working knowledge of insurance regulations, procedure and diagnosis coding and automated insurance billing

• Excellent communication (written and oral) and interpersonal skills

• Excellent critical thinking, organizational and time management skills with a strong attention to detail, accuracy and follow through

• Must be able to work through issues to resolution

Preferred Qualifications:

• Associates or Bachelor’s Degree

• 2 years Medicare hospital billing experience

Why join our team?

• Work remotely with a work/life balance approach

• Robust benefits offering, including 401(k)

• Generous time off allotments

• 10 paid holidays annually

• Employer-paid short term disability and life insurance

• Paid Parental Leave