At UpStream we believe good health is a state of independence where each person has the capacity to live a long, happy, and active life. We aim to deliver the type of care our members need to regain and maintain their independence by delivering effective, efficient, and sustainable care. We are a growing company and are excited to invite caring, detailed, and team-oriented people to join our team.

How you’ll help

As a member of the Billing Team, you will work as an extension to our clinical care teams and billing departments within the physician practice. Billing Specialists work directly with our partner practices to initiate, manage, and reconcile patient claims and address insurance-related questions. They also collaborate internally to support our clinical care teams embedded in these practices. The Billing Specialist will review the quality of work for each clinician to ensure value is provided to our patients and billing is accurate. To this end, the billing specialist will support the research and resolution of outstanding, overdue, or denied insurance claims to help maximize profitability for each practice. General responsibilities include but are not limited to:

What you’ll do

• Generating monthly billing summaries and financial transparency reports
• Serving as a main point of contact for insurance related questions
• Work within a medical office's Electronic Medical Records (EMR) system to enter claims
• Submit, track, and resolve claims and billing questions
• Verify and correct rejected insurance claims
• Work with management and cross-functional teams to establish and improve billing processes
• Review and audit patient account documentation in EMR system

• 
  Associates Degree or equivalent work experience related to medical claims
• 2+ years medical billing/claims experience with knowledge of ICD-10 and CPT codes
• 2+ years of experience working directly with and Electronic Medical Records (EMR)
• 2+ years of experience resolving insurance discrepancies and disputes
• 2+ years direct experience using excel in day-to-day operations.
• Experience using Microsoft Office products (Excel, Outlook, Word, etc).
• Team-oriented individual who is also self-motivated and able to work well independently
• Strong communication, critical-thinking, adaptability and problem-solving skills

Location: 100% Remote in North Carolina, South Carolina and Virginia

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

Job Keywords: Medical Billing, ICD-10, CPT, EMR, EHR, Excel