Experity is the leading software and services company for on-demand healthcare in the U.S. We provide software solutions that remove complexities and simplify operations for 5700+ urgent care clinics across the country. We create, maintain, and support products to facilitate the complete on-demand healthcare experience: from patients finding clinics and making appointments, to checking in, to clinical documentation, and to the final bill paid by the patient. Our team is committed to changing healthcare for the better by innovating and revolutionizing on-demand healthcare for millions of patients across the country.

Experity offers the following:

Benefits – Comprehensive coverage starts first day of employment and includes Medical, Dental/Orthodontia, and Vision. Ownership - All Team Members are eligible for synthetic ownership in Experity upon one year of employment with real financial rewards when the company is successful! Employee Assistance Program - This robust program includes counseling, legal resolution, financial education, pet adoption assistance, identity theft and fraud resolution, and so much more. Flexibility – Experity is committed to helping team members face the demands of juggling work, family and life-related issues by offering flexible work scheduling to manage your work-life balance. Paid Time Off (PTO) - Experity offers a generous PTO plan and increases with milestones to ensure our Team Members have time to recharge, relax, and spend time with loved ones. Career Development – Experity maintains a learning program foundation for the company that allows Team Members to explore their potential and achieve their career goals. Team Building – We bring our Team Members together when we can to strengthen the team, build relationships, and have fun! We even have a family company picnic and a holiday party. Total Compensation - Competitive pay, quarterly bonuses and a 401(k) retirement plan with an employer match to help you save for your future and ensure that you can retire with financial security.

Hybrid: Experity offers Team Members the opportunity to work remotely or in an office. While this position allows remote work three days weekly, we require Team Members to live within a commutable distance from one of our locations to ensure you are available to come into the office as needed.

Job Type: Full time

Compensation: Budgeted between $17.75 - $22.75

Responsibilities:

Adding new codes and pricing to fee schedules. Apply payments and adjustments to accounts as appropriate. Assist clients with obtaining online access. Assist onshore and offshore team members with online access issues. Assist RCM with working various outstanding claims. Manage and update logins/passwords within the "Keeper" app. Provide website codes to login to payer websites. Pull remittances from payer website. Rebilling of underpaid claims for claims projects. Reverse UAC'd payments and post. Complete any and all tasks of a medical biller. Follow up to make sure that payers reimburse for underpayments. Loading fee schedules into the billing software system. Request and set up website access for medical billers. Updating fee schedules as they change. Work and resolve tickets within Salesforce. Submit corrected insurance claims and/or appeals, as necessary, with appropriate documentation based on payer guidelines. Notating patient accounts with accurate information based on information received. Maintain patient confidence by following HIPAA guidelines. Contact insurance companies regarding claim status, follow-up on denials or partial payments. Perform various audits. Understand CPT, ICD-10, and HCPCS coding. Work Omega escalations. Review, track, and discuss productivity variances. Review of unpaid claims, researching denials and/or lack of activity to ensure timely payment and maintain cash flow. Review for codes underbilled in the practice management system. Rebill and track claims for increased reimbursement. Other duties as assigned.

 

Education: High school diploma or equivalent. 

 

Experience: Proficiency with Microsoft Office, especially Microsoft Excel.

 

Preferred:

Previous medical bill experience. Experience reading and evaluation explanation of benefits (EOBs). Familiarity with medical fee schedules.