heyjane - Billing Specialist
Requirements
• 2+ years experience as a Billing Specialist in a healthcare setting (preferably in a telehealth setting) • Deep expertise in Medicaid billing guidelines, including familiarity with state-specific reimbursement rules and eligibility verification • Strong proficiency in ICD-10, CPT, and HCPCS coding, particularly as they relate to abortion services and sexual and reproductive health • Proven experience managing the full claims lifecycle, including submission, denial management, and appeals • Hands-on experience with Electronic Health Records (EHR) and Revenue Cycle Management (RCM) systems • Solid understanding of HIPAA regulations and a strict commitment to maintaining patient data privacy • Strong attention to detail and accuracy • Ability to effectively communicate with patients, insurance companies, and internal stakeholders • Proficient in using Excel or Google Sheets • Ability to work independently in a fast-paced environment • Strong organizational and time management skills • Passion for advancing equitable healthcare, with a deep-rooted ability to empathize with Hey Jane patients
Responsibilities
• Ensure a smooth, efficient, and timely claim submission process with minimal denials, including identifying gaps in claims • Follow up on unpaid claims, denials, and appeals to ensure maximum reimbursement • Investigate and resolve billing discrepancies or coding issues • Collaborate with internal teams, including clinicians, to provide charting requirements and necessary documentation for claims submission, training team members on billing processes, and creating workflows for billing operations • Provide support and guidance to patients regarding their insurance coverage, financial assistance, and billing inquiries • Manage abortion fund invoicing and reimbursements • Maintain accurate and organized billing records and documentation • Generate and analyze reports to monitor billing performance and identify areas for improvement • Support new payor partnerships, working collaboratively with internal and external stakeholders to own billing and coding workflows as we grow • Maintain knowledge of current billing and coding regulations and updates • Stay up-to-date with changes in insurance policies, fee schedules, and reimbursement rates • Assist with other billing-related tasks as needed
Benefits
• This isn’t your average administrative role: the systems you maintain and improve directly determine how quickly and effectively patients can access safe, timely, and compassionate care. By mastering the complexities of Medicaid and Medi-Cal, you are personally expanding healthcare equity and ensuring that financial barriers don't stand in the way of essential services. In a moment where access to care is more important than ever, your work will have a tangible impact on the future of accessible healthcare across the U.S.
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