Overview:
MUST HAVE advanced experience billing with AthenaHealth software.
Please only apply if you’re confident in using Athena and are familiar with the full billing cycle within its platform.
We are looking for a detail-oriented, proactive Billing Coordinator to manage medical billing operations in a fast-paced, remote environment. You’ll work closely with our team to ensure accurate claim submissions, resolve billing issues, and handle insurance verifications and denials efficiently.
Key Responsibilities:
-
Process missing slips, un-postables, and items in correspondence dashboards
-
Work the Claim Workflow Dashboard (especially HOLD and MGRHOLD buckets)
-
Navigate Enhanced Claim Resolution (ECR): read and interpret Athena claim history notes to determine next actions
-
Manage insurance packages in Athena: create/update packages, run eligibility checks, update demographics, and perform insurance matching
-
Understand the claim lifecycle in Athena: kick codes, adjustment codes, manual payment posting, batch tracking, and claim routing
-
Handle CMS1500 claim form entries: verify POS, CPT, ICD-10 codes, modifiers, provider details, and more
Required Experience:
-
Advanced AthenaHealth billing experience (MANDATORY)
-
Strong grasp of:
-
Denial management: review and respond to various types of denials
-
Payer communication: lead payer calls and ask strategic questions
-
Claim adjudication: trace claim routes and understand resolution paths
-
Key billing concepts: timely filing, credentialing holds, crossovers, secondary payers, and non-covered services
-
Application Question:
-
Please describe your experience billing with AthenaHealth in detail.
APPLY