Billing Support Specialist - Full Time - Machesney Park

Billing Support Specialist - Full Time - Machesney Park

Experity is the leading software and services company for on-demand healthcare in the U.S. We provide software solutions that remove complexities and simplify operations for 5700+ urgent care clinics across the country. We create, maintain, and support products to facilitate the complete on-demand healthcare experience : from patients finding clinics and making appointments, to checking in, to clinical documentation, and to the final bill paid by the patient. Our team is committed to changing healthcare for the better by innovating and revolutionizing on-demand healthcare for millions of patients across the country.

Experity offers the following :

• Benefits Comprehensive coverage starts first day of employment and includes Medical, Dental / Orthodontia, and Vision.
• Ownership - All Team Members are eligible for synthetic ownership in Experity upon one year of employment with real financial rewards when the company is successful!
• Employee Assistance Program - This robust program includes counseling, legal resolution, financial education, pet adoption assistance, identity theft and fraud resolution, and so much more.
• Flexibility Experity is committed to helping team members face the demands of juggling work, family and life-related issues by offering flexible work scheduling to manage your work-life balance.
• Paid Time Off (PTO) - Experity offers a generous PTO plan and increases with milestones to ensure our Team Members have time to recharge, relax, and spend time with loved ones.
• Career Development Experity maintains a learning program foundation for the company that allows Team Members to explore their potential and achieve their career goals.
• Team Building We bring our Team Members together when we can to strengthen the team, build relationships, and have fun! We even have a family company picnic and a holiday party.
• Total Compensation - Competitive pay, quarterly bonuses and a 401(k) retirement plan with an employer match to help you save for your future and ensure that you can retire with financial security.

Hybrid : Experity offers Team Members the opportunity to work remotely or in an office. While this position allows remote work, we require Team Members to live within a commutable distance from one of our locations to ensure you are available to come into the office as needed.

Job Type : Full time

Compensation : Starting at $21.50 hourly!

Responsibilities :

Build, maintain, and manage a strong, long-standing relationship with Experity's RCM clients.

Meet with client management on a regular basis and build relationships at multiple levels. Communication cadence to include, at minimum, monthly business reviews and annual on-site leadership meetings as deemed necessary based on the size and needs of the client.

Interpret and provide analysis of clinic financial data through key reports and revenue cycle drivers.

Participate in a monthly meeting to review accounts receivable status, KPI and accounting reports with client's financial team.

Manage and communicate findings effectively with assigned clinics and their management staff to achieve optimum performance.

Proactively identify trends and perform root cause analysis related to carrier issues impacting billing and reimbursements. Report findings effectively directly to client contacts.

Manage queue of open inquiries from clients and provide resolution within benchmark timelines.

Responsible for ensuring service level commitments are met for each client. Coordinate and hold accountable internal service teams as necessary to ensure the successful delivery of our products and services.

Responsible for timely provider set-ups, including loading provider numbers. Includes releasing claims as appropriate and notifying Experity to proceed with claims agreement (tracking until resolved).

Maintaining various client spreadsheets.

Email RCM teams to notify them of contract updates, termed providers, and new providers.

Create new provider setups in the PM.

Complete mass release / resends of claims.

Assist with obtaining ERA agreements.

Set up ERA / EDI for new clients.

Send E-prescribe set-up requests to customer support.

Act as liaison for internal and external communications with assigned clients.

Work and resolve Billing Support tickets within Salesforce.

Route emails / tickets to appropriate departments.

Create and maintain managed care features in the PM.

Review charges on hold and release claims as appropriate.

Resolve client and internal billing support inquiries within two business days.

Complete RCM decommission tasks for terminating clients.

Escalate provider / payer issues to contracting and credentialing.

Track, review, & report on C&C issues and claims totals.

Other duties as assigned.

Travel : Ability to travel as needed

Education and Experience :

High school diploma or equivalent combination of years of experience

Two years of customer service experience.

One year experience in the medical billing field (charge entry, payment posting, claims, etc.).

Experience in Microsoft Office, Microsoft Word, and Microsoft Excel.

Practices active listening and clear communication to understand and help resolve basic issues effectively.

Uses basic de-escalation and conflict resolution strategies to handle routine customer or team concerns calmly and professionally.

Every Team Member Exhibits Our Core Values :