Billing Associate

Position Summary

The Billing Associate is responsible for timely and accurate front-end billing execution for assigned accounts, including claim intake and scrubbing, coordination with coding teams, and billing charge entry and release. This role focuses on accuracy, timeliness, and adherence to established processes. As the front end of operations, the Billing Associate serves as the first line of defense in ensuring claims are complete and accurate, setting clients up for success by driving claim processing, payer response, and reimbursement outcomes.

Key Responsibilities

Account Setup

• Conduct claim intake for assigned new accounts

• Ensure claims are complete and required documentation is validated prior to requesting coding

• Route claims to coding teams, ensuring coding is completed in a timely manner

• Release charges upon completion of coding and validation steps

• Conduct billing setup, including billing rule configuration and workflow alignment for newly onboarded accounts

• Properly introduce support teams to account for transition to live maintenence

Account Maintenance

• Maintain accurate billing rules and account details within internal systems

• Ensure that the claim intake, demographics, coding, and charge release processes are running smoothly for all assigned accounts

• Montior account trends relating to claim intake, demographics, coding, and charge release

• Adhere to defined workflows, timelines, and quality standards

• Own billing related clients’ external (and internal) chats and emails and respond to all billing related items

• Serve as the main point of contact for the follow up team & other departments in regard to billing related issues and inquiries

• Supervise billing for higher level claims & corrected claims

• Review claims over 75 days from date of service daily and drive them toward resolution and claim release.

Communication & Escalation Management

• Resolve standard internal billing questions from support teams and flag issues requiring further review to the Billing Support Team Manager

• Escalate to management and support resolution for unresolved, systemic, or reoccurring issues with clear documentation, and supporting details.

• Communicate with clients regarding missing information and basic processing issues

Key Performance Indicators

• Zero Billable Claims missed timely filing

• All Claims to be billed at 30 days from client upload

• GAP cases captured properly

• 98% accuracy rate on billing output - new claims, and subsequent claims

• Resolve billing delays, claim holds, missing information, and workflow barriers within 24 hours whenever possible.

• External escalations sent within 1-2 days of identification

• SLA adherence across assigned accounts

Experience & Requirements

• High School Diploma or equivalent required; Associate's or Bachelor's degree preferred

• 0-2 years of experience in physician collections, A/R follow-up, and denial management

• Proficiency in Microsoft Office applications (Excel, Word, Outlook); experience with reporting and data analysis tools preferred

• Proven ability to multi-task, prioritize workload, and meet deadlines in a fast-paced environment

• Strong communication and interpersonal skills

Additional Qualifications

• Exceptional attention to detail and organizational skills.

• Ability to work independently while contributing to a team-oriented environment

• Demonstrated problem-solving skills with a proactive and solution-driven approach

Pay Range 50000 - 65000 USD