Career Opportunities | APS Medical Billing

Credentialing/Provider Enrollment Specialist

This position verifies the credentials of healthcare providers are in compliance with state and federal standards, communicates with physicians and clients to obtain credentialing documents, receive/process all initial credentialing/re-credentialing applications and manage license, insurance, and DEA expirations for providers.

Requirements:
• Minimum of 1-3 years of experience in a medical billing setting
• Proven ability to multi-task and handle heavy workloads (maintain credentialing efforts for over 150 physicians)
• Detail oriented
• Maintain strict level of confidentiality
• Must be proficient with Word and Excel
• Possess excellent written and verbal communication

Medical Coder

In this position, candidate would work with clients to ensure proper documentation for charge capture and remain current with industry guidelines such as LCD/NCD polices and quality initiatives to accommodate them into their coding practices.

Requirements:
• Demonstrate ICD-10-CM proficiency
• Demonstrate understanding of the CPT guidelines for separate procedures, bundling and add-on-codes
• Experience in abstracting medical records for accurate CPT code assignments
• Experience in anatomic pathology preferred

Medical Insurance Biller

In this high volume position, the person will follow up on unpaid claims within the standard billing cycle timeframe. This person will investigate, identify, research and appeal denied claims. Accuracy and ability to meet deadlines is imperative.

Requirements:
• Minimum 1-3 years of medical claims and/or billing experience
• Familiar with billing guidelines and regulations in various states; across government and non-government insurance carriers
• Strong understanding of A/R follow up process
• Strong typing skills
• Proficient in Microsoft Word and Word
• Excellent communication skills

Customer Service Representative

In this position, the person will answer patient calls regarding their bills, EOBs, payment plans, etc. This is a fast paced, heavy volume position.

Requirements:
• Call center or office experience
• Medical billing knowledge a plus
• Resolves patient issues and documents call information
• Typing/keyboarding skills
• Knowledge of Microsoft Excel and Word
• Ability to multitask on and in-between calls

Client Setup Specialist

The selected candidate will seamlessly transition a new client from their existing agency to the APS system. In addition, be able to communicate with physicians, clients, hospital representatives, IT staff and carriers to obtain all needed information. As well as interpret client documents to meet the APS system requirements.

Requirements:

• Minimum of 1-3 years of experience in a medical billing setting
• Proven ability to multi-task and handle heavy workloads
• Detailed oriented
• Maintain strict level of confidentiality
• Must be proficient with Word and Excel
• Possess excellent written and verbal communication

Data Entry Processor

In this position, the person’s main focus is to enter billing data into our system. This is a fast paced/production driven environment.

Requirements:
• Compare data with source documents, re-enter data in verification format to detect errors
• Locate and correct data entry errors
• Proven ability to multi-task and handle heavy work loads
• Typing skills 50+ wpm
• Proficient in Microsoft Excel and Word
• Excellent communication skills

Payment Posting Specialist

The Payment Posting Specialist's main responsibility is to process the payments received from insurance companies, patients and other entities, towards settlement of claims, applied to the respective claims/patient accounts or other accounts in the billing system.

Requirements:
• Minimum of one year experience in payment posting
• Reconciliation experience
• Strong keyboarding skills- alpha and numeric (6,000+ on 10 key)
• Experience in reading EOBs
• Detail oriented and able to multi-task
• Basic knowledge of Word, Excel and Outlook
• Proven ability to multi-task and handle heavy work loads

Contract Management Specialist

The Contract Management employee is responsible for reading, interpreting and analyzing the details of payer contracts. This person loads fee schedules according to the terms of the contract, as well as identify discrepancies in the system based on the contract. The Contract Management employee monitors the accuracy of billing and payments received and initiates recoveries on underpaid claims. This position requires the person to have close collaboration with various departments.

Requirements

Bachelor’s degree or equivalent combination of formal training and experience
Ability to systematically analyze problems, draw relevant conclusions and implement appropriate solutions.
Excellent verbal and written communications with internal and external customers.
Proficient in Microsoft Office.

Programmer Analyst

In this position, responsibilities include analyzing, writing and maintaining computer applications in IBM iSeries RPG or VB.Net.

Requirements:

• Bachelor’s Degree, preferably in a relevant field and/or the equivalent combination of education and experience in the healthcare industry
• At least 3 years of practical application programming experience using VB.Net
• Experience in Visual Basic and VB.Net
• Experience in IBM iSeries RPG and CL a plus
• Experience in HTML, CSS, ASP, Java and SQL
• Ability to communicate technical information to non-technical personnel
• Ability to implement and troubleshoot complex programming changes and modifications
• Ability to identify problems or potential problems with systems and/or clients
• Ability to plan, design, coordinate installation, test and modify complex systems
• Knowledge of current technological developments and trends in area of expertise
• Excellent planning and organizational skills
• Must be able to communicate effectively with customer, manufacturers, vendors and corporate staff

Regional Practice Manager

APS is looking for a Regional Practice Manager who serves as the primary day-to-day interface with our clients for their billing and reimbursement activities. Primary practice specialties include, but not limited to, pathology and radiology groups.

This person must understand the revenue cycle management functions and be able to clearly communicate financials with the clients, as well as troubleshoot issues, resolve problems and provide guidance for solutions. The Practice Manager also establishes relationships with new clients and manages the transition process for multiple clients throughout the US.

• Manages all areas of the financial aspects of the revenue cycle for our clients
• Monitors fee schedules – fee schedule analysis
• Provides clients with reports that allow them to manage their practices
• Conduct onsite business meetings with clients to discuss financial reporting and industry news, standards and other topics of interest related to the specialty
• Works with staff to ensure revenue maximization by making certain all revenue cycle management functions are carried out expediently and correctly

Requirements:
• Bachelor’s degree or equivalent combination of formal training and experience
• Strong understanding of third-party and insurance billing processes (pathology and radiology)
• Strong knowledge in finance or accounting
• Advanced knowledge of revenue cycle management
• Excellent verbal and written communications, presentation and negotiation skills required internally and externally with all levels of management

This position requires 60% of travel (including overnight trips).

Customer Service Supervisor

The Customer Service Supervisor is responsible for managing all activities related to the Call Center. The Supervisor is responsible for daily supervision of employees, leadership, training and coaching to direct and indirect reports. This position is also responsible for meeting high quality and timely completion of productivity goals.

• Supervise employees to meet daily department and supervisor productivity goals
• Review staffing levels, staff schedules and assigning specific duties
• Works with management to establish and implement departmental goals and processes
• Supervise the daily operations of the department and provides leadership to employees
• Assist in determining staffing needs, interviews, hires and works with the manager to oversee the training of employees

Requirements:
• Associate’s degree or equivalent combination of formal training and experience
• At least two years of supervision experience preferred
• Strong leadership skills with the ability to guide, direct, train and interact with staff and clients
• Demonstrate knowledge of third-party and insurance companies and operating procedures, regulations and billing requirements
• Working knowledge of call center systems and processes
• Self-motivated, self-directed and attention to detail
• Strategic thinker and problem solver
• Strong organizational skills and the ability to handle multiple tasks
• Proven project management and time management skills
• Skilled in Microsoft Office – Word and Excel

Coding Supervisor (Onsite/Remote)

The Coding Supervisor is responsible for daily supervision of coding employees, meeting high quality, timely completion of productivity goals, and the general oversight and enforcement of policies and procedures.

Essential Duties and Responsibilities:
• Supervises employees to ensure goals are met
• Provides training and resources to employees
• Meets regularly with the Manager/Director to discuss staff, staffing needs, work schedules, and assignment of tasks
• Participates in interviewing, hiring, training, employee evaluations and disciplinary action
• Abstracts medical reports for accurate CPT code assignments

Requirements:
• An Associate’s degree or equivalent combination of formal training and experience
• A current, nationally recognized coding credential: CPC, CCS, CCS-P, RHIA or RHIT
• Demonstrated ICD-10-CM proficiency and understanding of CPT guidelines
• Experience in anatomic pathology, diagnostic radiology or emergency services
• Understanding and application of CMS initiatives including NCCI Edits, PQRS and NCD/LCD policies
• At least two years of supervisory experience

Client Representative

The client representative is the APS liaison to assigned clients. This position involves coordinating on-going client support and services and managing client’s accounts receivable.

Requirements:
• Minimum of 1-3 years of experience in a medical billing setting
• Ability to conduct month-end financial and operation reviews with clients
• Ability to monitor and report client satisfaction with service performance and escalate issues as needed
• Organized and detail oriented
• Maintain strict level of confidentiality
• Proficient in Microsoft Excel and Word
• Excellent communication skills

Training Specialist - Medical Billing

The Training Specialist will be responsible for the design, delivery and continuous improvement of training programs for APS. This position will train new employees on systems and processes for medical billing, as well as assess staff competency in order to provide continuing education for staff and evaluate the effectiveness of the training.

Requirements:
• Associates Degree, preferably in a relevant field and/or up to two years of the equivalent combination of education and experience in medical billing training
• Creates and implements professional billing training materials to ensure consistent use and standardized processes
• Ability to perform, support and train on all aspects of the medical billing process
• Strong presentation skills and ability to present in front of groups
• Effective listener
• Positive attitude, enthusiastic and energetic

Customer Service Team Lead

The Customer Service Team Lead is the first contact for employee floor support in the department assigned to them. This person is responsible for answering questions, handling escalations and identifying trends that can be used to identify knowledge gaps and training opportunities. The Team Lead will also take calls to stay current and knowledgeable.

Essential Duties and Responsibilities:
• Serves as a resource to team members to answer questions, clarify work task responsibilities
• Reviews outcome of quarterly and monthly auditing with staff and management
• Ensures appropriate coverage of work activities
• Provides onboarding, training, mentoring and team development for all new hires and assigned team members

Qualification Requirements:
• Associate’s Degree or equivalent combination of formal training and experience
• Solid knowledge of the tasks and functions performed in a Call Center department
• Demonstrated knowledge of third-party and insurance companies
• Skilled computer skills - Microsoft Office/Word and Excel
• Ability to train and lead in a team environment
• Strong and clear verbal and written communication skills

Client Bill Processor

The Client Bill Processor is responsible for the manual keying and removal of charges on client bills, appropriately reviewing census and adjusting client/patient bills.

Requirements
• High school diploma or equivalent, Associate’s degree preferred
• Ability to organize and prioritize work and manage multiple priorities
• Ability to research and analyze data
• Ability to work a phone system
• Excellent communication skills
• Strong computer skills (Outlook, Excel, Word)

Insurance Billing Supervisor

The Supervisor is responsible for daily supervision of employees, leadership, training and coaching to direct and indirect reports. This position is also responsible for meeting high quality and timely completion of productivity goals.

Requirements:
• Associate’s degree or equivalent combination of formal training and experience
• At least two years of supervision experience preferred or a proven track record of supervising a team to achieve results or evidence of strong leadership skills with the ability to guide, direct, train and interact with staff and clients
• Demonstrated knowledge of third-party and insurance companies and operating procedures, regulations and billing requirements
• Self-motivated, self-directed and attention to detail
• Strategic thinker and problem solver
• Strong organizational skills and the ability to handle multiple tasks
• Proven project management and time management skills
• Excellent verbal, written and interpersonal skills
• Skilled in Microsoft Office – Word and Excel

Credentialing - Clerical Assistant

The clerical assistant is responsible for providing direct support to our credentialing team. This is accomplished through:

• Sorting mail for onsite and remote credentialists
• Mailing supplies and documents to remote credentialists
• Working tasks in regards to clients’ remit addresses
• Making calls to carriers to validate if our clients are contracted and with what product lines
• Update our system when a doctor is on vacation and has another doctor filling in for them (locum tenans)
• Miscellaneous projects

Requirements:
• Associate’s degree or equivalent combination of training and experience
• Ability to organize and manage multiple priorities
• Excellent communication skills
• Strong typing and computer skills (Outlook, Excel, Word)

Business Intelligence Analyst/Report Writer

The Business Intelligence Analyst/Report Writer works to develop and provide new business intelligence solutions. This position is responsible for analyzing data, developing and delivering reporting solutions and packages and database solutions to include a range of reports, scorecards, dashboards and other solutions.

Essential Duties and Responsibilities:
• Primary support contact and expert for the SSRS and other data virtualization tools
• Enhance existing reports/dashboards to improve performance and presentation
• Identification, specification, querying, validation and delivery of standard and custom reports
• Develop, validate and provide ongoing support of operational and project-related reports, scripts and data analysis

Qualification Requirements:
• Bachelor’s degree in software engineering disciplines, computer science or other related field and/or the equivalent combination of education and experience
• Minimum of 3 years’ experience using BI virtualization tools and technology (e.g., SSRS, Power BI)
• Experience working in a project-oriented, timeline driven environment

Additional Eligibility Qualifications:
• Understanding of database management systems, online analytical processing (OLAP) and ETL (Extract, transform, load) framework
• Proficient in writing, editing, and working with SQL queries and Microsoft SQL Server Management Studio
• Knowledgeable in SQL Server development including T-SQL programming
• Thorough understanding of data modeling

Insurance Billing - Team Lead

The Insurance Team Lead is the first contact for employee floor support in the department assigned to them. This person is responsible for answering questions, auditing, maintaining departmental tasks and queues and identifying trends that can be used to identify knowledge gaps and training opportunities. The Team Lead will also work projects and assist with clients, when needed, to stay current and knowledgeable.

Essential Duties and Responsibilities
• Serves as a resource to team members to answer questions, clarify work task responsibilities
• Reviews outcome of quarterly and monthly auditing with staff and management
• Ensures appropriate coverage of work activities
• Provides onboarding, training, mentoring, and team development for all new hires and assigned team members

Qualification Requirements
• Associate’s Degree or equivalent combination of formal training and experience
• Demonstrated knowledge of third-party and insurance companies
• Strong computer skills - Microsoft Office/Word and Excel
• Ability to train and lead in a team environment
• Strong verbal and written communication skills

Inside Sales Representative

The Inside Sales Representative supports the Regional Directors of Business Development and plays a fundamental role in meeting or exceeding annual sales quotas. This person must be comfortable making calls and talking with people to generate interest and build a pipeline of qualified sales opportunities. The person will also assist in the creation and execution of targeting marketing materials and campaigns.

Essential Duties and Responsibilities
• Sources new opportunities through inbound lead follow-up and outbound cold calls, emails and web inquiries
• Maintains communications with prospects and builds rapport to secure new opportunities
• Utilizes CRM to ensure activities are documented properly, opportunities are forecasted accurately and information regarding the prospect and/or opportunity is communicated
• Helps generate new prospects

Qualification Requirements
• Bachelor’s degree or equivalent combination of formal training and experience
• Proven inside sales experience in a B2B environment
• Healthcare and Revenue Cycle Management experience preferred
• Working knowledge of medical billing and claims processing a plus

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