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Healthcare Billing Specialist

Company: UpStream Primary Care
Location: Greensboro
Posted on: June 24, 2022

Job Description:

At UpStream we believe good health is a state of independence where each person has the capacity to live a long, happy, and active life. We aim to deliver the type of care our members need to regain and maintain their independence by delivering effective, efficient, and sustainable care. We are a growing company and are excited to invite caring, detailed, and team-oriented people to join our team.Health is a state of independenceWhat we do UpStream is the fastest-growing primary healthcare solution provider in the US. We underwrite and support the delivery of value-based care for seniors and people living with chronic conditions. By working in partnership with healthcare practices and clinics we offer a comprehensive risk-free solution for physicians that finances, delivers and sustains better outcomes for everyone. Who we areUpStream is a trusted partner, helping to free up primary care physicians to focus on what is most valuable to them and their patients. We enable participation in advanced payment models through integrated clinical, financial and technology support and systems, while working to eliminate the burden of chronic disease. To achieve this, we embed a powerful support platform that facilitates physicians, pharmacists, and nurses to achieve the greatest recognition in value-based care so that patients can live longer, happier, and independent lives.How you'll helpAs a member of the Billing Team, you will work as an extension to our clinical care teams and billing departments within the physician practice. Billing Specialists work directly with our partner practices to initiate, manage, and reconcile patient claims and address insurance-related questions. They also collaborate internally to support our clinical care teams embedded in these practices. The Billing Specialist will review the quality of work for each clinician to ensure value is provided to our patients and billing is accurate. To this end, the billing specialist will support the research and resolution of outstanding, overdue, or denied insurance claims to help maximize profitability for each practice. General responsibilities include but are not limited to: What you'll do

  • Generating monthly billing summaries and financial transparency reports
  • Serving as a main point of contact for insurance related questions
  • Work within a medical office's Electronic Medical Records (EMR) system to submit claims
  • Submit, track, and resolve claims and billing questions
  • Verify and correct rejected insurance claims
  • Work with management and cross-functional teams to establish and improve billing processes

    • Associates Degree or equivalent work experience related to medical billing
    • 1+ years medical billing experience with knowledge of ICD-10 and CPT codes
    • 1+ years of experience working directly with and Electronic Medical Records (EMR)
    • 1+ years of experience resolving insurance discrepancies and disputes
    • 1+ years direct experience using excel. Solid excel skills preferred.
    • Experience using Microsoft Office products (Excel, Outlook, Word, etc).
    • Team-oriented individual who is also self-motivated and able to work well independently
    • Strong communication, critical-thinking and problem-solving skillsLocation: Greensboro, NC located in the Revolution Mill Campus. This role will train in person for approximately 2 weeks at our Headquarters and be able to work remotely a few days a week after training.All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.Job Keywords: Medical Billing, ICD-10, CPT, EMR, EHR, ExcelPI181447088

Keywords: UpStream Primary Care, Greensboro , Healthcare Billing Specialist, Other , Greensboro, North Carolina

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