Healthcare

Specialist, Facility Billing

Conshohocken, PAHybridFull TimePosted 20 days ago

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Required skills

accounts receivable
invoicing
insurance follow-up
Excel
math
CPT
ICD-10
EOBs
denial reasons
customer-service mindset

Nice to have

CRCR
CPB
surgical claims
specialty claims
out-of-network claims
No Surprises Act

Role summary

MPOWERHealth is seeking an Accounts Receivable Specialist to manage facility billing and reimbursement. This role involves creating and submitting invoices, entering charges, following up on payments and delinquent accounts, and working insurance claims. The specialist will also post payments, reconcile accounts, build relationships with facility contacts, and handle billing inquiries. Key qualifications include 2+ years of medical accounts receivable experience, advanced Excel skills, and knowledge of medical billing codes and insurance terms.

Overview

About the Role

Do you love numbers, take pride in getting the details right, and get satisfaction from seeing an account through to payment? MPOWERHealth is hiring an Accounts Receivable Specialist to keep our reimbursement engine running.

In this role, you'll invoice facility clients for the medical services our teams provide. You'll also follow up with clients, insurance payers, and patients until every account is resolved. Your work keeps our clinical teams supported and our services sustainable.

Location: [Hybrid] · Schedule: Full-time ·

Responsibilities

What You'll Do

Create and submit invoices to facility clients based on contract terms and case details.
Enter charges and data accurately into the billing system.
Follow up on purchase orders, payments, and delinquent accounts by phone and email.
Work unpaid and denied insurance claims, including corrections, resubmissions, and appeals.
Post payments and adjustments, and complete monthly A/R reconciliation.
Build relationships with new facility contacts and set up their A/R processes.
Answer client and patient billing questions with professionalism and care.
Flag payment and denial trends so we can fix problems at the source.

Qualifications

What You Bring

2+ years of medical accounts receivable, invoicing, or insurance follow-up experience.
High school diploma or GED.
Advanced Excel skills and a strong head for math.
Working knowledge of CPT, ICD-10, EOBs, and common denial reasons.
Sharp attention to detail. You catch the small errors others miss.
The organization to handle a high volume of correspondence while hitting daily invoicing goals.
Clear, professional written and verbal communication with all levels, internally and externally.
A customer-service mindset, a positive attitude, and openness to feedback.

Nice to Have

CRCR, CPB, or CPC certification.
Experience with surgical, specialty, or out-of-network claims.
Familiarity with the No Surprises Act IDR process.
Experience with athenahealth, eClinicalWorks, AdvancedMD, Waystar, or a similar system.

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