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

Practice Manager

The Practice Manager is responsible for establishing and maintaining relationships with clients. This person serves as the primary day-to-day interface with clients for their billing and reimbursement activities. Must be able to clearly communicate client information, troubleshoot issues and solve problems that arise and provide guidance on how to handle the client’s situation.

Essential Duties and Responsibilities

• Establish relationships with new clients and assist and manage the transitional process.
• Maintains existing relationships between client and APS
• Understands the expectations of both the client and APS
• Provides APS with client-specific details needed to provide required services
• Monitors and tracks all client meetings
• Prepares data for client meetings and contributes to decision-making
• Provides Managed Care Contract Review
• Oversee all aspects of managing accounts receivables for clients

Travel Time required -- 80% or more

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 Manager - Onsite

The Coding Manager works closely with the Director and Supervisor(s). This person provides leadership and accountability through planning and coordinating processes and functions of the department to ensure department goals are established and met.

Essential Duties and Responsibilities:
• Identifies and recommends documentation improvements to increase accuracy and charge capture and reduce audit liability
• Identifies process flow inefficiencies and makes recommendations
• Ensures the department goals are met
• Analyzes and interprets data and provides recommendations
• Determines staffing needs and participates in interviewing, hiring, training and disciplinary action
• Ensures compliance with policies and regulatory requirements

Requirements:
• Bachelor’s or Associate’s degree or equivalent combination of formal training and experience
• A current, nationally recognized coding credential: CPC, CCS, CCS-P, RHIA or RHIT
• Knowledge of coding conventions (CPT, ICD-10-CM, HCPCS), CMS policy requirements, LCDs/NCDs and industry quality and billing matters
• At least three years of management and leadership experience

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

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)

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