Billing Support Specialist - Full Time - Hybrid

Experity offers the following:

• Benefits – Comprehensive coverage starts first day of employment and includes Medical, Dental/Orthodontia, and Vision.
• Ownership - All Team Members are eligible for synthetic ownership in Experity upon one year of employment with real financial rewards when the company is successful!
• Employee Assistance Program - This robust program includes counseling, legal resolution, financial education, pet adoption assistance, identity theft and fraud resolution, and so much more.
• Flexibility – Experity is committed to helping team members face the demands of juggling work, family and life-related issues by offering flexible work scheduling to manage your work-life balance.
• Paid Time Off (PTO) - Experity offers a generous PTO plan and increases with milestones to ensure our Team Members have time to recharge, relax, and spend time with loved ones.
• Career Development – Experity maintains a learning program foundation for the company that allows Team Members to explore their potential and achieve their career goals.
• Team Building – We bring our Team Members together when we can to strengthen the team, build relationships, and have fun! We even have a family company picnic and a holiday party.
• Total Compensation - Competitive pay, quarterly bonuses and a 401(k) retirement plan with an employer match to help you save for your future and ensure that you can retire with financial security.

Hybrid: Experity offers Team Members the opportunity to work remotely or in an office. While this position allows remote work, we require Team Members to live within a commutable distance from one of our locations to ensure you are available to come into the office as needed.

Compensation: Starting at $21.50 hourly! 

Job Type: Full time

Work Schedules: Monday – Friday

• 7:30 am – 4:00 pm
• 8:00 am – 4:30 pm
• OT available after training if requirements are met

Responsibilities:

• Building and maintaining strong, long-standing relationships with billing clients.

• Liaison between CSM's and internal teams, ensuring timely and successful delivery of information or service according to client needs.

• Responsible for the setup of new clients, which includes making sure all necessary set up documents are received and signed off by the client, as well as review of items entered by Experity to ensure correct set up.

• Assist with creating and maintaining client fee schedules.

• Research and maintain state specific guidelines pertaining to where to send claims for the large three payers (BCBS, Medicare, and Medicaid), if claims agreement is required, provider number requirements, claim format requirements, etc.

• Responsible for timely provider set-ups including loading provider numbers. Includes releasing claims as appropriate and notifying Experity to proceed with claims agreement (tracking until resolved).

• Maintaining various client spreadsheets.

• Communicate key Accounts Receivable information on a monthly basis.

• Documentation of communications with clients as required by Experity Billing

• Assists the Billing Account Assistant as needed.

• Responsible for the timely addition/update and accuracy of a variety of information, such as Fee Schedules, Electronic Agreements, Client Set ups, spreadsheets, and other information as identified.

• May perform billing demos and training for non-RCM clients.

• Attend client calls and educate clients on RCM best practices

• Emails RCM teams to notify of contract updates, termed providers, and new providers.

• Create new provider set ups in the PM.

• Complete mass release/resends of claims.

• Review ERA opportunity spreadsheet.

• Assist with obtaining ERA agreements.

• Set up ERA/EDI for new clients.

• Send E-prescribe set up requests to customer support.

• Notify team to enable rules engine for ACE.

• Assist with Billing Support projects as needed.

• Review provider override report and report issues as needed.

• Assist in Rural Health feature set ups and clinic configs.

• Participate in Rural Health calls with clients & CSM's as needed.

• Research and assist in resolving various claims denials and EDI issues as needed.

• Complete tasks on new client checklist.<