Geared toward candidates comfortable with claim processing and client communication, with a focus on accuracy and adherence to billing workflows in the healthcare domain in Queens, New York.
Derived from job-description analysis by Serendipath's career intelligence engine.
Original posting from Alteva RCM via Greenhouse
About Us
At Alteva RCM, we're dedicated to helping healthcare providers thrive through expert revenue cycle management, strategic insight, and innovative solutions. We're always looking for passionate, driven professionals who want to make a meaningful impact, grow their careers, and be part of a collaborative team committed to excellence.
Position Summary
The Billing Associate is responsible for timely and accurate front-end billing execution for assigned accounts, including claim intake and scrubbing, coordination with coding teams, and billing charge entry and release. This role focuses on accuracy, timeliness, and adherence to established processes. As the front end of operations, the Billing Associate serves as the first line of defense in ensuring claims are complete and accurate, setting clients up for success by driving claim processing, payer response, and reimbursement outcomes.
Key Responsibilities
Account Setup
Conduct claim intake for assigned new accounts
Ensure claims are complete and required documentation is validated prior to requesting coding
Route claims to coding teams, ensuring coding is completed in a timely manner
Release charges upon completion of coding and validation steps
Conduct billing setup, including billing rule configuration and workflow alignment for newly onboarded accounts
Properly introduce support teams to account for transition to live maintenence
Account Maintenance
Maintain accurate billing rules and account details within internal systems
Ensure that the claim intake, demographics, coding, and charge release processes are running smoothly for all assigned accounts
Montior account trends relating to claim intake, demographics, coding, and charge release
Adhere to defined workflows, timelines, and quality standards
Own billing related clients’ external (and internal) chats and emails and respond to all billing related items
Serve as the main point of contact for the follow up team & other departments in regard to billing related issues and inquiries
Supervise billing for higher level claims & corrected claims
Review claims over 75 days from date of service daily and drive them toward resolution and claim release.
Communication & Escalation Management
Resolve standard internal billing questions from support teams and flag issues requiring further review to the Billing Support Team Manager
Escalate to management and support resolution for unresolved, systemic, or reoccurring issues with clear documentation, and supporting details.
Communicate with clients regarding missing information and basic processing issues
Key Performance Indicators
Zero Billable Claims missed timely filing
All Claims to be billed at 30 days from client upload
GAP cases captured properly
98% accuracy rate on billing output - new claims, and subsequent claims
Resolve billing delays, claim holds, missing information, and workflow barriers within 24 hours whenever possible.
External escalations sent within 1-2 days of identification
SLA adherence across assigned accounts
Experience & Requirements
High School Diploma or equivalent required; Associate's or Bachelor's degree preferred
0-2 years of experience in physician collections, A/R follow-up, and denial management
Proficiency in Microsoft Office applications (Excel, Word, Outlook); experience with reporting and data analysis tools preferred
Proven ability to multi-task, prioritize workload, and meet deadlines in a fast-paced environment
Strong communication and interpersonal skills
Additional Qualifications
Exceptional attention to detail and organizational skills.
Ability to work independently while contributing to a team-oriented environment
Demonstrated problem-solving skills with a proactive and solution-driven approach
Pay Range$50,000—$65,000 USD
Benefits
Alteva RCM offers our employees a comprehensive benefits package, including health, dental, vision, employee assistance plan, paid family leave, short-term disability and life insurance. We also provide a 401(k) plan with employer match, flexible spending accounts, employee discount program and an employee referral program.
Source: Alteva RCM careers (Greenhouse)