ClearSky Health · 6 months ago
Central Business Office Specialist Remote
United States
Full-time
Remote
Mid LevelClearSky Health provides high-quality care that transforms the lives of those living with disabling injuries and illnesses. The Business Office Specialist is responsible for the daily activities of the central business office accounts receivable, including the preparation and submission of insurance claims, billing, and payment posting.
Health CareMedicalService Industry
Responsibilities
Prepares, processes, and files accurate and timely insurance claims for all payer types in accordance with department policy and payer requirements
Analyzes, interprets, and resolves all billing edits to ensure claims are filed accurately within the payer's regulations and filing limits
Adheres to compliance and regulatory rules as mandated by CMS, state and federal regulations, payer contracts, and established department policies and procedures
Processes and monitors all refunds, adjustments, corrections, etc
Monitors compliance of proper billing practices in accordance with federal, state, local standards, guidelines, and regulations
Prepares end of day, month and year to comply with financial policy and procedures
Handles correspondence related to the billing of a claim for all lines of business, answers questions and updates accounts as necessary
Assists in cost containment development of the department within budgeted parameters; reviews bad debt activity
Accurately posts payments to Patient Accounts
Oversees monthly cash reconciliations and reporting
Updates and reviews all accounts to keep records up to date, follow up with payer on unpaid claims
Resolves denials, appeals, and other payer issues, works with hospital personnel when required
Qualification
Required
hospital billing
collections
Medicare and commercial health care insurance experience
Company
ClearSky Health
ClearSky Health is a rehabilitative health care service provider company.
Founded in 2018
201-500 employees
H1B Sponsorship
ClearSky Health has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2023 (1)
Funding
Current Stage
Growth StageLeadership Team
Aaron Lopez
Chief Executive Officer
Ed Hardy
Chief Executive Officer
Recent News
Morningstar.com
2025-05-10
2025-01-16
Company data provided by crunchbase