ABOUT TELE911:
Tele911 is searching for a highly-skilled medical billing and credentialing professional to contribute to our rapid growth and help us maintain our position as an innovative leader in EMS. Each year, millions of non-emergent 911 calls are made that overcrowd emergency rooms, reduce ambulance availability for life-threatening issues, and significantly increase healthcare costs. At Tele911, we integrate with EMS Agencies to allow for safe Treatment-in-Place or alternate destination transport and provide wrap-around follow-up services to every patient.
Part Time………Fully Remote
We are seeking a highly motivated and detail-oriented Billing & Credentialing Specialist with an entrepreneurial mindset to join our team. The ideal candidate will be responsible for managing our company’s revenue collection efforts, with a focus on fact-finding and problem-solving. This role will also be responsible for ensuring our medical providers are registered with targeted third-party payer networks.
Responsibilities:
- Manage billing workflow process & establish efficient revenue cycle management processes.
- Monitor accounts receivable and collections and follow up on delinquent payments
- Interface with commercial insurance and government payers as necessary
- Generate invoices for direct pay customers
- Prepare receivables and collections reports for management
- Analyze and reconcile billing data, identify discrepancies and errors, and implement solutions
- Collaborate with customers and internal departments to resolve billing issues and disputes
- Conduct research and stay current with changes in health plan and medical billing regulations and guidelines
- Continuously identify process improvement opportunities and implement best practices to enhance our billing operations
- Prepare and submit physician network applications with third party payers and follow up on progress
- Maintain accurate tracking of registration & physician credentialing with credentialing software platform
- Assist with special projects and ad-hoc analysis as required
Experience Requirements:
- High school diploma or equivalent; associate's or bachelor's degree in accounting, finance, or related field preferred
- Minimum of 5 years of experience in billing and collections in the healthcare industry
- Experience in CPT and ICD-10 coding
- Background in working with CMS administrators and third-party payers to resolve issues
- Proficient in Microsoft Office Suite, particularly Excel, and experience with billing and accounting software
Skill Requirements:
- Strong analytical and problem-solving skills, with a track record of fact-finding and solution creation
- Highly organized and process driven
- Excellent communication and customer service skills, with the ability to build positive relationships with internal and external stakeholders
BONUS QUALIFICATIONS:
- A drive to help improve today’s EMS agencies while navigating the current EMS challenges through telemedicine.
