Senior Medical Billing Specialist

Welcome to Pine Park Health!

About us

Pine Park Health is a value-based primary care practice that is redesigning how residents of senior living communities get or stay healthy and lead a life they love. We’re on a mission to dramatically improve healthcare for seniors by building a new model of care that’s designed around everyone involved — patients, families, community staff members, providers, and payers. 

We’ve started by providing regular prevention and screening, care for chronic conditions, lab work, and diagnostic testing to patients in their apartments. We visit each community weekly to see patients and collaborate on patient health needs with staff. We also make it easier for patients to get care urgently with same- and/or next-day care, helping them avoid the ER and/or hospital where they’re exposed to more health issues.

Our value-based offering has led to over 100 communities partnering with us in the last year and allowed us in achieving 10X patient growth. We're a fast-growing company that’s backed by lead investors including First Round Capital, Google’s AI fund, Canvas Ventures,  Foundation Capital, Y Combinator, and Susa. If you share in our vision of helping every senior, no matter their health status, being able to lead a life they find meaningful and worthwhile, join us!

The Opportunity

As a Senior Medical Billing Specialist (Remote), you will be responsible for maintaining the needs of Pine Park Health's daily revenue cycle tasks. This includes ensuring accurate and timely processing of invoices as well as appropriately managing communications with insurance payers as well as patients, team members and leadership/management. You will be responsible for communicating concerns and supporting identification of trends.

What You'll Do

• Patient eligibility verification, responsible for coordinating with enrollment directors for same day eligibility.
• Scrubbing and processing invoices for patients and insurance payers, posting charges within 24 hours of sign off by provider
• Scrubbing and processing payer rejections within 48 hours of receipt of rejection from clearinghouse
• Patient services, to include statements and patient phone calls
• Reconciling patient and insurance payments, including processing payments on a daily basis to support monthly reconciliation
• Reworking denials and unpaid claims, including appeals, reopenings, redeterminations within 48 hours of receipt 
• Participating in specialized billing projects on an as needed basis
• Achieve maximum reimbursement for services provided
• Conduct Audits as directed and on an as needed basis
• Submit HIM requests for payer records on an as needed basis
• Maintain detailed documentation with all workflows and patient encounters
• Other duties as assigned

What We're Looking For

• Mid-level Billing Specialist candidates should have at least a high school diploma or GED
• Professional certification, Associate degree or Bachelor’s degree in Bookkeeping, Accounting, business Administration or another relevant field is preferred
• Strong communication skills, written and verbal
• Excellent customer service skills, highlighting patience and empathy
• Good problem solving skills and the ability to optimize critical thinking skills
• Basic math, bookkeeping and accounting skills
• Organization, time management and prioritization abilities
• Effective computer skills

Why You’ll Love Us

• We’re a smart, heart-centered, low-ego group motivated to make waves in the lives of seniors and the healthcare industry 
• We’re solving complex, vital problems that affect real people and need bright, focused, driven minds like yours to help us achieve our goals 
• We empower team members to act like owners and have designed a learning-focused environment where you get ongoing support and regular feedback to help you grow 
• We host social events to celebrate wins, mark team member milestones and let go by having fun

Benefits Designed for You and Yours

• Medical, vision, and dental insurance
• FSA and Dependent Care FSA
• 401K retirement plan
• 10 paid holidays
• 15 days paid time off
• Paid sick days
• Paid parental leave
• Cell phone reimbursement
• Monthly wellness allowance
• Professional/personal development annual allowance

It’s required that all employees receive the COVID-19 and flu vaccines before their first day of work.

Pine Park Health is an equal opportunity employer — we aim to recruit, hire, develop, compensate, and promote regardless of race, religion, country of origin, gender, sexual orientation, age, marital status, veteran status, or disability.