Tele Specialists
Billing Specialist
Tele Specialists - Brookhaven
Work at Tele Specialists
Overview
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Overview
This is an in-office position.
About Us:
TeleSpecialists is transforming healthcare delivery as the nation's largest and fastest-growing digital healthcare leader. By providing expert neurological and psychiatric care directly to over 400 hospitals and health systems across the country, we don't just provide care; we pioneer solutions that make quality healthcare easily accessible.
Join a team where your passion meets our purpose. If you're inspired by innovation, thrive in a collaborative and entrepreneurial environment, and want to be a part of a team that's reshaping the future of patient care, we want you on our team. At TeleSpecialists, you'll discover more than just a job. You will be able to experience meaningful work, accelerated career growth, and the opportunity to redefine healthcare for the future.
Tele Specialists Offers:
The Billing Specialist is responsible for reviewing clinical documentation, coding accuracy, and billing data prior to claim submission to ensure compliance with payer requirements, internal policies, and regulatory guidelines. This role plays a critical part in reducing claim denials, optimizing reimbursement, and maintaining billing integrity.
Key Responsibilities:
About Us:
TeleSpecialists is transforming healthcare delivery as the nation's largest and fastest-growing digital healthcare leader. By providing expert neurological and psychiatric care directly to over 400 hospitals and health systems across the country, we don't just provide care; we pioneer solutions that make quality healthcare easily accessible.
Join a team where your passion meets our purpose. If you're inspired by innovation, thrive in a collaborative and entrepreneurial environment, and want to be a part of a team that's reshaping the future of patient care, we want you on our team. At TeleSpecialists, you'll discover more than just a job. You will be able to experience meaningful work, accelerated career growth, and the opportunity to redefine healthcare for the future.
Tele Specialists Offers:
- A great culture with a team environment
- A fun, diverse work environment
- A rapidly growing company with career advancement opportunities
- Medical, Dental and Vision benefits
- 401k match
- Paid Vacation
- Leadership Training Classes
- Mentorship Program
- Tuition Reimbursement
The Billing Specialist is responsible for reviewing clinical documentation, coding accuracy, and billing data prior to claim submission to ensure compliance with payer requirements, internal policies, and regulatory guidelines. This role plays a critical part in reducing claim denials, optimizing reimbursement, and maintaining billing integrity.
Key Responsibilities:
- Perform detailed audits of medical records, coding, and charge entries before claims are submitted to payers.
- Ensure all charges are supported by appropriate documentation and comply with payer policies and billing regulations (e.g., CMS, HIPAA).
- Verify accuracy of CPT, ICD-10, and HCPCS codes entered by coding staff or providers.
- Identify missing or incorrect documentation and collaborate with coders, billers, or clinical teams to resolve issues before submission.
- Flag claims that require additional clinical review or payer-specific forms (e.g., prior authorization, modifiers).
- Maintain audit logs and provide reports on error trends, audit findings, and resolution outcomes.
- Work closely with the billing team to ensure timely and clean claims submission.
- Participate in internal training and process improvement initiatives to enhance pre-bill audit workflows.
- Stay current with payer policies, coding updates, and regulatory changes impacting billing and compliance.
- High school diploma or equivalent required; Associate's or Bachelor's degree preferred.
- Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent credential strongly preferred.
- 2+ years of experience in medical billing, coding, or auditing in a healthcare setting.
- Proficient in reading medical records and interpreting clinical documentation.
- Strong knowledge of insurance billing guidelines and reimbursement processes (Medicare, Medicaid, commercial payers).
- Familiarity with EHR and billing systems (e.g., Epic, Athenahealth, eClinicalWorks).
- Excellent attention to detail, analytical skills, and ability to work independently.
- Strong communication and teamwork skills.
- Typical office environment.
- May require extended periods of sitting and computer use.
- Must be able to meet deadlines and performance metrics in a fast-paced environment.