drjobs Billing Implementation Specialist (Implementation Specialist III) REMOTE

Billing Implementation Specialist (Implementation Specialist III) REMOTE

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1 Vacancy
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Job Location drjobs

Pittsburgh, PA - USA

Monthly Salary drjobs

$ 73440 - 91800

Vacancy

1 Vacancy

Job Description

About Net Healthââ

Belong. Thrive. Make a Difference.ââ

Are you looking for a meaningful and satisfying career where you have endless opportunities to grow and be financially rewarded Net Health may be the perfect place for you.âââ

A high-growthâand profitable company we help caregivers harness data for human health.âWeâalsoâhonor and respect the needs of our Net Health family and staffâwhich is why weâoffer aâwork-from-anywhere environment and unlimited PTO.âOurâwelcomingâand collaborativeâcultureâpaired with progressive benefits makesâNet Healthâthe ultimate career home!â

As a leading-edgeâSaaSâcompany in healthcare we deliver solutions that help patients get better faster and liveâmore fulfilling lives. Our software and predictive analytics coverâtheâcontinuum of care fromâhospital-to-home across various medical specialties. Come join us andâstart the next chapter of your exciting careerâwhile helping othersâtoâlive better lives.ââ

World-Class Benefits That Reflect Our World-ClassâCulture.â

Click Here to Learn More!:â

#WorkFromAnywhereâ#UnlimitedPTOâ#ComprehensiveBenefitsPackageâ#EmployeeResourceGroups #CasualDressCode #PrioritizedEmployeeWellnessâ#DiversityAndInclusionâ#AVoiceâ#NewHireSupportâ#CareerDevelopment #EducationalAssistance #EmployeeReferralBonusâ#ProgressiveParentalLeaveââââ

JOB OVERVIEW

While maintaining the strategic goals set forth by the Implementation & Training Department the Implementation Specialist III will be the primary point of contact for new billing clients guiding them through the setup and implementation of the WoundExpert billing software. The Billing Implementation specialist will ensure their system is configured for efficient and accurate billing and educate clients on best practices to optimize their revenue cycle.

RESPONSIBILITIES AND DUTIES

  • Collaborate with clients to configure and customize the WoundExpert billing software to meet their specific needs ensuring successful billing and claims submissions.
  • Provide comprehensive training and education to clients on billing processes coding and best practices within the software.
  • Guide clients through the initial setup and data migration to ensure a smooth transition.
  • Act as a subject matter expert on wound care billing coding and compliance regulations.
  • Troubleshoot and resolve implementation-related issues working with our technical support team as needed.
  • Assist clients with insurance and Medicare credentialing processes to ensure they can submit claims successfully.
  • Maintain clear and consistent communication with clients throughout the implementation process managing timelines and expectations.
  • Work with clientâand/or PMâto ensure configuration of database is completed prior to end-user training.
  • Post go-live assist with application and workflow questions prior to transition to support.
  • Provide billing go-live support to clients.
  • Provide education andâtraining toâthe facility admin team members to supportâtheirâownâteamâon an ongoing basisâand ongoing product maintenance.
  • Maintain education and on-going learning relative to new releases/versions of the product.ââââ
  • Contribute and assist with development of client education and departmental training materials.â
  • Organize own travel including booking tickets securing hotel and rental car accommodations.
  • Submit accurate expense reports in a timely manner utilizing the Travel and Entertainment policy including adhering to the corporate credit card standards.
  • Submission of all other client reports within two weeks of go-live.

QUALIFICATIONS

  • Bachelors degree in relevant field or equivalent work experience.
  • 6 years of relevant work experience including 2 years of software implementation experience and billing experience in Wound Care.
  • Proven experience in medical billing and coding with a strong emphasis on wound care.
  • In-depth knowledge of Medicare and commercial insurance credentialing processes preferred.
  • Experience with software implementation particularly in a healthcare or medical billing context.
  • Claims Lifecycle Management: Deep knowledge of the entire billing process including claim creation submission tracking reconciliation and payment posting.
  • Denial Management & Resolution: Proven ability to identify common denial reasons implement effective resolution workflows and minimize future denial rates.
  • Compliance & Audit Readiness: Understanding documentation standards healthcare compliance (e.g. HIPAA) and preparation for internal and external audits.
  • Excellent communication and interpersonal skills with the ability to educate clients effectively.
  • Strong problem-solving and analytical skills.
  • Understanding of adult learning with the ability to stimulate learner participation and motivation.
  • Strong project management capabilities with a focus on measurable outcomes.
  • Ability to travel up to 25% for client engagements team meetings and industry events.
  • Comfortable working independently while coordinating with distributed teams.

REQUIRED SOFTWARE EXPERIENCE

  • Proficiency with Microsoft Office Suite (PowerPoint Excel Word Outlook).
  • Experience with EMR platforms.
  • Experience using CRM or professional services automation tools for clinical data reporting benchmarking and documenting.


Note: This job description is not intended to be all-inclusive. Employee may perform other related duties as requested to meet the ongoing needs of the organization.â

Salary Range: $73440.00 - $91800.00 USD

A word on Al-assisted candidate fraud & deepfakes: Our company maintains a zero-tolerance policy for the use of Al tools to misrepresent a candidates skills experience or qualifications during the hiring process. We utilize advanced screening methods to detect such practices and reserve the right to disqualify and report candidates who violate this policy.


Required Experience:

IC

Employment Type

Full-Time

Company Industry

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