Job Description

Description:

Zinnia Health is a fast-growing integrated healthcare company. We value our employees and care for our clients. Do you have unique talents that you would like to share with others? We would love to have you join our team!

Competitive Pay

Career Development

Competitive Benefits & 401k

Values: Integrity, Teamplay, 1% Better Each Day

As a Remote Billing Specialist is responsible for performing a variety of billing and reimbursement functions to ensure accurate and timely processing of inpatient and outpatient claims. This position plays a key role in maintaining the integrity of the organization's revenue cycle by ensuring proper billing, payment posting, eligibility verification, and claim resolution. The incumbent must demonstrate strong attention to detail, organizational skills, and the ability to work effectively in a remote environment with minimal supervision.

Schedule

:


Hourly / Full Time 40 hours


Monday through Friday - 8:00 a.m. to 4:30 p.m.


Headquarters are in Exeter, Rhode Island, however,

this position is fully remote

Tasks/Responsibilities

:

Prepare, review, and submit accurate billing for inpatient and outpatient services in accordance with payer requirements. Verify client insurance eligibility and maintain accurate and up-to-date records for all clients. Enter new client information into the CMD billing system, ensuring completeness and accuracy. Identify, correct, and resubmit rejected or denied claims in a timely manner to ensure maximum reimbursement. Post insurance and patient payments accurately and reconcile accounts as needed. Generate, review, and analyze various billing and financial reports as requested. Print and mail Blue Cross Blue Shield of Rhode Island (BCBS RI) claims in compliance with payer guidelines. Communicate effectively with internal staff and insurance carriers to resolve billing discrepancies or claim issues. Maintain compliance with all company policies, procedures, and applicable federal and state regulations, including HIPAA.

Requirements:

Requirements / Qualifications:

Preferred experience requirements may be satisfied through professional experience as determined by Human Resources at the time of hiring. High school diploma or equivalent required; associate degree or certification in medical billing or healthcare administration preferred. Minimum of two (2) years of experience in medical billing; behavioral health or healthcare setting experience preferred. This position is fully remote. The employee must have reliable internet access and a secure, private workspace suitable for handling confidential and sensitive information. Demonstrated knowledge of insurance billing procedures, claim submission, and reimbursement processes. Proficiency with electronic medical record (EMR) and billing software. Excellent attention to detail, organizational, and analytical skills. Strong written and verbal communication abilities. Ability to work independently, manage multiple priorities, and meet deadlines in a remote work environment.

Environmental/Physical Requirements:

There are no environmental or physical requirements due to the position being fully remote. However, the employee must have reliable internet access and a secure, private workspace suitable for handling confidential and sensitive information.