Summary: The Billing Specialist role at Bicycle Health is a temporary position focused on accurately reviewing and submitting medical billing claims for patients with Opioid Use Disorder. The specialist will evaluate clinical documentation, ensure compliance with billing regulations, and maintain productivity standards in a remote work environment. This role is crucial in enhancing the accessibility and quality of care provided through the telemedicine platform. The position requires a strong understanding of medical billing processes and coding.

Key Responsibilities:

• Evaluates medical records, provider notes, and billing recommendations to determine appropriate procedure codes to assign to claims.
• Creates and submits primary and secondary third-party medical claims.
• Verifies all the information for claims processing is complete and accurate.
• Accountability for ensuring validation of all entries are performed.
• Contacts the appropriate stakeholders (providers, financial coordinator, etc.) to obtain missing or unclear billing information, and escalates to leadership as necessary.
• Identifies opportunities for improvement in clinical documentation and claim submission.
• May perform Insurance verification and eligibility checks.
• Responsible for meeting or exceeding daily billing productivity standards to ensure Finance SLA’s are adhered to.
• Maintains workstation in compliance with HIPAA Security and Technical Rule.
• All other duties as assigned.

Key Skills:

• 2-4 years of Revenue Cycle/Medical Billing experience, required.
• Working knowledge of CPT and ICD10 codes, HCFA 1500 claim forms, HIPAA, billing and insurance regulations, medical terminology.
• Telemedicine and startup experience, preferred.
• Athena Health experience, preferred.
• Behavioral Health experience, preferred.
• Consistent access to a private work environment with high-speed internet and professionally appropriate surroundings for frequent video conferencing and a workstation setup conducive to remote work needs.

Salary (Rate): undetermined

City: undetermined

Country: undetermined

Working Arrangements: remote

IR35 Status: outside IR35

Seniority Level: undetermined

Industry: Other