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

APS is looking for a 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).

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

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.

• 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 provide leadership to employees
• Assist and determine staffing needs, interviews, hires and works with management 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 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)

Managed Care Reimbursement Specialist

The Managed Care Reimbursement Specialist 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 identifies discrepancies in the system based on the contract. The Managed Care Reimbursement Specialist 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 for the Managed Care Reimbursement Specialist
• 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

Compliance Specialist

The Compliance Specialist works directly with the HIPAA Compliance Officer in administering and revising the compliance program in response to the changing needs of the organization, laws, and governmental policies. The Compliance Specialist contributes to the development, implementation, and evaluation of the company’s compliance-related activities to ensure they promote an institutional culture favorable to compliance and ethics.

Requirements
• Bachelor’s degree or equivalent combination of formal training and experience
• Current or recent experience with HIPAA Privacy, Security and HiTech regulations; CMS Fraud Waste and Abuse; CMS False Claims Act Statute
• Proficiency in Microsoft Office Suite (Outlook, Word, Excel, PowerPoint); demonstrate ability to use other relevant software applications and databases
• Strong organization practices
• Effective communication skills, written and oral
• Ability to build relationships with a variety of managers
• Understand importance and meets deadlines
• Experience in professional coding and billing, preferred

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