Location
Alabama, United States
Salary
Not specified
Type
fulltime
Posted
Today
Job Description
About Visana Health
Visana Health is an innovative virtual women's health clinic offering comprehensive clinical care and holistic support for women. We are redesigning women's healthcare by bringing a patient-centered human touch to care for complex conditions such as chronic pelvic pain, endometriosis, uterine fibroids, heavy menstrual bleeding, and more.
Job Overview
We are seeking a highly detail-oriented, proactive, and knowledgeable Medical Billing and Coding Specialist – Patient AR Collections to join our growing healthcare team. This role plays a critical part in optimizing revenue cycle performance by ensuring timely and accurate collection of patient balances while upholding the highest standards of billing and coding integrity.
The ideal candidate brings a strong foundation in medical terminology, coding systems, and patient collections, paired with a patient-centric and solutions-oriented approach to resolving financial matters. This individual will serve as a key liaison between patients, providers, and payers, ensuring a seamless and compliant billing experience while supporting organizational goals.
Location: Fully remote in the US only
Status: Full-Time with benefits
Requirements
Responsibilities
- Proactively manage and prioritize patient accounts receivable (AR) to drive timely and effective resolution of outstanding balances.
- Conduct high-quality inbound and outbound patient communications, delivering clear, empathetic, and solution-focused support regarding billing inquiries and payment options.
- Perform detailed reviews of patient accounts to ensure accuracy of charges, payments, and adjustments prior to collections outreach.
- Partner with payers to resolve claim discrepancies and ensure appropriate adjudication before balances transition to patient responsibility.
- Maintain a strong understanding of payer guidelines and proactively identify opportunities to minimize patient financial burden through accurate billing practices.
- Review claims and patient charts prior to submission to ensure coding (ICD/CPT) accuracy, alignment with clinical protocols, and support of value-based care initiatives.
- Accurately process and validate medical records for billing purposes, ensuring all documentation supports services rendered.
- Collaborate cross-functionally with providers, clinical teams, and internal stakeholders to resolve billing discrepancies and improve overall revenue cycle efficiency.
- Ensure strict adherence to all regulatory requirements, including HIPAA and industry best practices in medical billing and collections.
- Prepare charts for upcoming patient appointments, including thorough insurance verification and updates in accordance with contracted health plans.
- Maintain comprehensive and accurate documentation of all collection activities within billing systems.
- Support continuous improvement initiatives and perform additional duties as assigned by the Revenue Cycle Manager and/or Revenue Cycle Lead.
Skills
- Demonstrated expertise in patient AR collections, with a strong track record of resolving complex accounts
- Proficiency in medical coding practices, including ICD-10 and CPT, with a commitment to accuracy and compliance
- In-depth knowledge of medical terminology and end-to-end revenue cycle processes
- Experience working within a fast-paced healthcare or medical office environment, preferably with a focus on collections
- Familiarity with medical billing platforms and tools (Athena experience strongly preferred)
- Exceptional attention to detail with strong organizational and time management capabilities
- Excellent interpersonal and communication skills, with the ability to navigate sensitive financial discussions with professionalism and empathy
- Strong analytical and problem-solving skills, with the ability to identify root causes and implement effective solutions
- Self-starter mindset with the ability to work independently while contributing to a collaborative team environment
Preferred Experience
- 3\+ years of progressive experience in patient accounts receivable and/or medical collections
- Proven ability to consistently meet or exceed collection and performance targets
- Experience supporting complex patient populations and navigating nuanced payer and patient scenarios
- Competitive salary (Hiring range is $40-50k, based on years of experience and location)
Even if you don’t necessarily check every box outlined in the following requirements, we want people of color, gender non-conforming, those in the LGBTQ\+ communities, and all those that consider themselves less represented in healthcare to apply because we understand that diversity in our provider team strengthens our organization and helps provide exceptional care to our patients.
If you are unsure, please apply anyway! We know how important it is not only to include, but to actively seek out diverse opinions and voices.
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