ResPro Health, LLC
Company Overview
ResPro Health is dedicated to providing our partners in the respiratory space with the tools and resources needed to implement meaningful programs like remote patient monitoring and chronic care management in their pulmonary practices.
With a focus on quality patient care and innovative solutions, ResPro Health equips specialists with dedicated staff to improve patient outcomes, promote patient engagement and support therapy compliance.
Position Overview We are seeking a detail-oriented and proactive
Enrollment & Billing Specialist
to support enrollment and billing operations for our Care Management programs.
This multifaceted role requires strong organizational skills, discretion, and the ability to manage multiple priorities across teams. This role is responsible for managing the end-to-end billing cycle across multiple EMR systems, ensuring timely and accurate claim submission, payment tracking, denial resolution, and client/patient support. The ideal candidate will have strong analytical skills and a deep understanding of billing and insurance trends.
Key Responsibilities Enrollment
Patient Outreach & Education:
Initiate calls to eligible patients, clearly explaining the benefits of our care programs for managing chronic conditions and improving overall health
Assist the care team with patient communication
Eligibility Verification:
Confirm patient eligibility and verify insurance coverage
Data Entry & Management:
Maintain accurate and up-to-date records of patient interactions and maintain documentation to support the integrity of the patient's chart
Team Collaboration:
Work closely with internal teams and healthcare providers to ensure seamless coordination and support
Performance Goals:
Consistently meet or exceed established enrollment targets
Billing
Claim Submission:
Assist with claim drop in multiple EMR systems, ensuring compliance with payer requirements and program- specific billing rules
Ensure all monthly reports are uploaded in each client EMR
Payment Tracking:
Pull and analyze payment reports to monitor reimbursement trends and identify discrepancies
Denial Management:
Investigate and follow up on denied claims, coordinating with client's billing team to resolve issues
Client & Patient Support:
Respond to client billing inquiries with professionalism and clarity
Answer patient billing questions, providing guidance on statements, insurance coverage, and coordination with client on payment options
Billing Analysis & Reporting:
Conduct regular analysis of billing and insurance trends to identify opportunities for process improvement.
Provide billing insights and analysis to leadership to drive enrollment campaigns.
Compliance & Updates:
Stay current with billing regulations and payer updates relevant to care management programs
Communicate billing changes and updates to the leadership team in a timely manner
Additional Responsibilities (if requested):
Special Projects
RePro Sleep appointment and follow up in Tebra
Requirements
Prior experience in a Healthcare setting is preferred
Proficiency with basic computer applications and data entry
Strong problem-solving skills and ability to multitask effectively
Excellent verbal and written communication skills
Collaborative team player with a positive attitude
Ability to work independently in a remote environment
Successful completion of a background check
Strong understanding of medical billing, coding, and insurance processes
Proficiency in Excel and billing software tools
Analytical mindset with attention to detail
Benefits
Flexible Paid Time Off
Training and Development opportunities
Compensation: $20 - $22 per hour (Part-Time, Hourly, Non-Exempt)
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With a focus on quality patient care and innovative solutions, ResPro Health equips specialists with dedicated staff to improve patient outcomes, promote patient engagement and support therapy compliance.
Position Overview We are seeking a detail-oriented and proactive
Enrollment & Billing Specialist
to support enrollment and billing operations for our Care Management programs.
This multifaceted role requires strong organizational skills, discretion, and the ability to manage multiple priorities across teams. This role is responsible for managing the end-to-end billing cycle across multiple EMR systems, ensuring timely and accurate claim submission, payment tracking, denial resolution, and client/patient support. The ideal candidate will have strong analytical skills and a deep understanding of billing and insurance trends.
Key Responsibilities Enrollment
Patient Outreach & Education:
Initiate calls to eligible patients, clearly explaining the benefits of our care programs for managing chronic conditions and improving overall health
Assist the care team with patient communication
Eligibility Verification:
Confirm patient eligibility and verify insurance coverage
Data Entry & Management:
Maintain accurate and up-to-date records of patient interactions and maintain documentation to support the integrity of the patient's chart
Team Collaboration:
Work closely with internal teams and healthcare providers to ensure seamless coordination and support
Performance Goals:
Consistently meet or exceed established enrollment targets
Billing
Claim Submission:
Assist with claim drop in multiple EMR systems, ensuring compliance with payer requirements and program- specific billing rules
Ensure all monthly reports are uploaded in each client EMR
Payment Tracking:
Pull and analyze payment reports to monitor reimbursement trends and identify discrepancies
Denial Management:
Investigate and follow up on denied claims, coordinating with client's billing team to resolve issues
Client & Patient Support:
Respond to client billing inquiries with professionalism and clarity
Answer patient billing questions, providing guidance on statements, insurance coverage, and coordination with client on payment options
Billing Analysis & Reporting:
Conduct regular analysis of billing and insurance trends to identify opportunities for process improvement.
Provide billing insights and analysis to leadership to drive enrollment campaigns.
Compliance & Updates:
Stay current with billing regulations and payer updates relevant to care management programs
Communicate billing changes and updates to the leadership team in a timely manner
Additional Responsibilities (if requested):
Special Projects
RePro Sleep appointment and follow up in Tebra
Requirements
Prior experience in a Healthcare setting is preferred
Proficiency with basic computer applications and data entry
Strong problem-solving skills and ability to multitask effectively
Excellent verbal and written communication skills
Collaborative team player with a positive attitude
Ability to work independently in a remote environment
Successful completion of a background check
Strong understanding of medical billing, coding, and insurance processes
Proficiency in Excel and billing software tools
Analytical mindset with attention to detail
Benefits
Flexible Paid Time Off
Training and Development opportunities
Compensation: $20 - $22 per hour (Part-Time, Hourly, Non-Exempt)
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