If you’re detail-oriented, passionate about accuracy, and thrive in a fast-paced environment, we want to hear from you!

Gateway Rehab Center (GRC) has an outstanding opportunity for a remote Billing Specialist who will be responsible for the billing of patient services, performing follow-up on outstanding accounts receivable, processing refunds, patient denials and write-offs. This position receives infrequent supervision and instruction from the Manager of Billing Services.

Responsibilities:

Process, edit, audit and post service entries into the EHR.
Generate clean claims, invoices, and patient bills for services provided based on third party payer criteria.
Monitor and collect outstanding accounts receivable and perform investigation and follow-up on open balances.
Review Explanation of Benefits/Remittance Advices for correct payment, copays, deductibles, and denials.
Track, analyze, and report monthly regarding outstanding accounts receivable, determining collectability and issues concerning receipt of payment.
Participate in monthly closings and provide data and analysis for all payers.
Communicate with utilization review regarding authorization issues and inquiries.
Complete processes for adjustments, write-offs, charity care, and refunds.
Contact Patient Benefit Coordinators, outpatient staff, therapists, and insurance companies for problem resolution.
Maintain interdepartmental reports for patient accounts and collections.
Communicate with third party Collection Management Companies and patients about self-pay balances or billing issues.
Assist in fiscal year audits.
Communicate with Medical Records for data required for patient appeals and denials.
Work on special projects as needed.
Attend mandatory Gateway training and in-services.

Knowledge and Skills:

Understanding healthcare billing practices.
Familiarity with commercial insurance providers, prior authorizations, and claim submissions.
Knowledge of full billing cycle, including charge entry, claims processing, payment posting, and collections.
Basic accounting principles knowledge.
Understanding of patient privacy laws and healthcare compliance standards.

Requirements:

High School diploma or equivalent.
Minimum of one year billing experience.
Pass a PA Criminal Background Check, PA Child Abuse and FBI Fingerprinting Clearances.
Pass Drug Screen and 2-Step TB Test.

Work Conditions:

Favorable working conditions with minimal physical demands.
Significant mental demands requiring routine decision making and high attention to detail.
Accuracy is critical due to potential loss of revenue and payment delays.