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Billing Implementation Specialist

eClinicalWorks, LLC
Westborough, MA Full Time
POSTED ON 8/27/2023 CLOSED ON 11/6/2023

What are the responsibilities and job description for the Billing Implementation Specialist position at eClinicalWorks, LLC?

Description

We are eClinicalWorks. We are a privately held leader in healthcare IT, providing comprehensive, cloud based EHR/PRM solutions to medical professionals worldwide to improve workflows and reduce the risk of physician burnout. We care. We are committed to positive change. And that's where you come in. Do you value creativity and innovation? Great, so do we. At eClinicalWorks, we share a passion for improving healthcare through dedication, education, and teamwork. Everyone has that one thing they're good at. We value your talent and want you to join our fast-paced, fun, and culturally diverse environment. Ready to make a difference? Apply today.

Position Overview

Billing Implementation Specialist (BIS) is a business management position where the Individual is responsible for the billing implementation and financial health of the practice. The BIS is the client's primary billing contact. BIS works very closely with the Project Managers at eClinicalWorks implementing integrated EMR-PM solution.

Responsibilities

  • Evaluating the clients billing requirements (HCFA/ UB/Dental/ sliding fee schedules)
  • Creating and educating customers on best practice workflow
  • Responsible for content build in the software to ensure good billing workflows
  • Work closely with the Implementation team assigned to ensure proper system build and billing setup
  • Knowledge of clearing house enrollment concept and purpose along with giving guidance to client to facilitate the enrollment processes
  • Responsible to set up the client's system and train them on using eClinicalWorks software based on their workflow using best practices of billing
  • Establish and maintain a working relationship with provider offices
  • Train the client remotely on how to use the software to conduct their billing processes
  • Proactively analyzes the client's financial health monthly to identify reimbursement trends, patterns of denials and to develop an intimate understanding of the factors that are contributing to the clients' financial performance
  • Making workflow recommendations to clients to improve their back-office operation.
  • Understanding of Month End Reporting and processes

Requirements

  • 3 year years of medical billing experience and knowledge of RHC/ASC/FQHC/Dental billing requirements
  • 3 years of experience with Medicare, Medicaid, commercial paper, and electronic claims processing.
  • 3 years of experience of knowledge of ICD, CPT, HCPC coding, ability to read EOB/ERAs, HCFA, Dental, UB claim submission, post payments and refunds
  • 3 years of experience in eligibility verification, familiarity with HIPAA rules
  • 3 years of experience with billing workflow knowledge (claim life cycle)

Preferred Qualifications

  • eCW knowledge

eClinicalWorks offers a rich suite of benefits which include the following: eighteen days of Paid Time Off per year which scales based on tenure; nine Paid Holidays and one Floating Holiday; insurance for eligible employees which includes medical, dental, vision, basic life, short term disability, long term disability, business travel accident, and accidental death and dismemberment.

As well, we offer a 401(k) plan with a Company safe harbor contribution; Flexible Spending Account for Health Care and Dependent Care for eligible employees; limited personal leave; additional voluntary benefits, including additional insurance (hospital indemnity, critical illness, accident, supplemental life, short term disability buy up, pet), genetic testing, legal plan, and supplemental accidental death and dismemberment; and an annual discretionary bonus for eligible employees.

eClinicalWorks is an Equal Opportunity Employer. We respect and seek to empower each individual and support the diverse cultures, perspectives, skills, and experiences that bring us together and help create a healthy world.



Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c)

eClinicalWorks is an Equal Opportunity Employer. We respect and seek to empower each individual and support the divers cultures, perspectives, skills, and experiences that bring us together and help create a healthy world. We prohibit discrimination against all individuals based on their race, color, religion, sex, sexual orientation, gender identity, national origin, or for inquiring about, discussing, or disclosing information about compensation.

 

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