Billing Subject Matter Expert
2 days ago
This is a remote position. Position Summary The Billing Subject Matter Expert (SME) plays a key role in ensuring accurate billing, copay collection, charge posting, and payment entry across the full revenue cycle process. This role bridges communication between front-end operations, billing representatives, and client AR to maintain accuracy, compliance, and timely revenue posting. Why Join Us 100% remote Room to grow Purpose-driven work Collaborative team Perks & Benefits Paid Time Off (PTO) Paid U.S. holidays Paid birthday leave Monthly health stipend Key Responsibilities 1. Copay Collection Review upcoming client appointments in TheraNest to verify copay amounts. Charge client copay from the stored credit card (CC) before the scheduled appointment. Send secure SMS payment links to clients if a valid CC is not on file. Notify the Client AR team if copays remain uncharged or uncollected before the appointment date. Maintain accurate tracking of copay collections and payment confirmations in the system. 2. Billing Operations Receive and review daily patient schedules from TheraNest. Review therapist notes to identify the appropriate service codes (CPT) and corresponding charge amounts. Create and enter invoices in the billing system with complete and accurate patient demographics. Ensure all charge entries are properly posted in EZClaim (or other RCM platforms) before insurance submission. Prepare and submit clean claims to insurance payers while adhering to compliance and documentation requirements. Coordinate with providers or billing representatives to correct missing or inaccurate information before claim submission. 3. Payment Posting & Reconciliation Post all insurance and patient payments accurately and promptly into the practice management system. Record and verify batch totals with date and initials on the payment receipt spreadsheet. Balance batches daily and run transaction reports for internal review. Confirm that all EFT deposits and scanned checks are fully posted by month-end close. Document and communicate payment denials or discrepancies to the Billing AR representative or Billing Director immediately. Identify payments not paid at contracted or allowed rates and flag them for AR follow-up. Support month-end reconciliation by ensuring payment accuracy, timeliness, and complete documentation. 4. Communication & Compliance Collaborate with AR, Credentialing, and Clinical teams to resolve claim-related issues. Maintain up-to-date knowledge of payer policies, Medicaid guidelines, and coding standards. Ensure HIPAA compliance and confidentiality across all billing operations. Participate in billing meetings and share insights or process improvements with leadership. Preferred Skills & Qualifications Experience in healthcare billing or RCM (mental health experience preferred). Working knowledge of TheraNest, EZClaim, and Waystar. Strong understanding of CPT codes, EOBs, payment posting, and insurance billing cycles. Detail-oriented, organized, and able to multitask in a high-volume environment. Effective communication and problem-solving skills. Proficient in Excel and data reconciliation.
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subject matter expert
2 weeks ago
New Delhi, India ACL Digital Full timeJob Description: Default Support Access SuccessFactors Provisioning access.Default Certifications1) SuccessFactors Employee Central and Global Benefits (with implementation/support) Current valid certifications: 1) SuccessFactors Onboarding2.0 Certification (with implementation/support) 2) SuccessFactors RMK Certification (with production support) 3)...
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Subject Matter Expert
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New Delhi, India Uneecops Full timeROLE At UNEECOPS TECHNOLOGIES LTD, we know that with the right people on board, anything is possible. The quality, integrity, and commitment of our employees are key factors in our company's growth, market presence and our ability to help our clients stay a step ahead of the competition. By hiring the best people and helping them grow both professionally and...
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Billing Subject Matter Expert
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New Delhi, India Insight Therapy Solutions Full timeJob Description This is a remote position. Position Summary The Billing Subject Matter Expert (SME) plays a key role in ensuring accurate billing, copay collection, charge posting, and payment entry across the full revenue cycle process. This role bridges communication between front-end operations, billing representatives, and client AR to maintain accuracy,...
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Delhi, India Uneecops Full timeROLE At UNEECOPS TECHNOLOGIES LTD, we know that with the right people on board, anything is possible. The quality, integrity, and commitment of our employees are key factors in our company's growth, market presence and our ability to help our clients stay a step ahead of the competition. By hiring the best people and helping them grow both professionally and...
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Subject Matter Expert
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Delhi, India Uneecops Full timeROLE At UNEECOPS TECHNOLOGIES LTD, we know that with the right people on board, anything is possible. The quality, integrity, and commitment of our employees are key factors in our company's growth, market presence and our ability to help our clients stay a step ahead of the competition. By hiring the best people and helping them grow both professionally and...
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Subject Matter Expert
2 days ago
Delhi, India Uneecops Full timeROLE At UNEECOPS TECHNOLOGIES LTD, we know that with the right people on board, anything is possible. The quality, integrity, and commitment of our employees are key factors in our company's growth, market presence and our ability to help our clients stay a step ahead of the competition. By hiring the best people and helping them grow both professionally and...
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