Subject Matter Expert Billing Specialist Work From Home
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Job Location:
Monthly Salary:
Posted on:
18 hours ago
Vacancies:
1 Vacancy
Job Summary
ClinicMinds core valuesExcellence Learning Teamwork guide everything we build.
With150 inhouse analysts half a dozen BPO partners and a proprietary billing platform we now need a manager to deliver bestinclass collections continue to improve performance automate and meet the RCM needs of a rapidly growing client base.
Overview
We are seeking a Level 3 Billing Support / Billing Review Subject Matter Expert (SME) to join our team. This role serves as the final point of escalation for complex billing concerns and systemic claim issues. The SME team ensures accuracy in claim processing resolves systemic billing setup problems and provides expert support to billing staff providers and retention teams. Experience with ClinicMind/Vericle software is required.
Key Responsibilities
Handle high-level billing escalations and serve as a subject matter expert for complex claim issues.
Review claims to identify errors caused by system setup or process gaps.
Collaborate with SYSADMIN to correct systemic configuration issues and validate updates.
Provide data and guidance on affected claims to billing teams and providers for manual resolution.
Support provider and retention teams by explaining billing outcomes and corrective actions clearly.
Document recurring issues and recommend workflow or system improvements.
Mentor Level 1 and Level 2 billing support staff sharing expertise and best practices.
Lead or participate in small projects related to billing reviews system changes and process enhancements.
Qualifications
Bachelors degree in Business Healthcare Administration Finance or equivalent work experience.
46 years of experience in medical billing claim review or revenue cycle management.
Mandatory: Hands-on experience with ClinicMind/Vericle software.
Strong knowledge of billing workflows claim adjudication and payer requirements.
Excellent communication skills to interact with providers billing teams and technical staff.
Strong analytical and problem-solving abilities with attention to detail.
Basic project management experience (managing timelines priorities and stakeholder coordination).
Preferred Skills
Prior experience collaborating with system administrators on billing setups.
Knowledge of compliance standards and payer regulations.
Ability to train or mentor junior staff.
Must Have:
- High comfort level working on Eastern Time Zone/US Shift
- Good internet access at home
- Mobile Hotspot
- Laptop/Desktop with at least 16 GB
Required Experience:
IC
Key Skills
- Databases
- System Design
- Cybersecurity
- System Architecture
- Intelligence Experience
- Military Experience
- Requirements Gathering
- Joint Operations
- Curriculum Development
- DoD Experience
- FISMA
- Ant
About Company
EHR v1 by ClinidMind enhances training and blends scientific research with practical tools to improve physician workflow and practice efficiency.
