Work Schedule Requirement:
8:00 AM – 4:30 PM Central Standard Time (CST)
· Supervises billing leadership and staff, including hiring, training new team members, performance evaluation, workload allocation, and professional development.
· Serves as the department’s subject matter expert on coding and billing processes.
· Serves as the subject matter expert for each project’s clearinghouse and advises best practices within the client’s clearinghouse.
· Responsible for reviewing improvements with clients pertaining to billing and DNFB recommendations.
· Responsible for reviewing, advising, and building clearinghouse edits and bridge routines to ensure industry standard clean claim rates.
· Ensure compliance with HIPAA, State, and Federal laws and guidelines among team members.
· Implement audit and productivity standards to uphold compliance across the billing teams.
· Ensure leadership teams are informed proactively pertaining to client billing issues and opportunities; attend client meetings as needed for explanations.
· Strive to meet or exceed all KPIs and goals.
· Coach and mentor supervisors when employees do not meet expectations.
· Design, implement, and maintain billing best practice workflows and policies.
· Foster teamwork and a positive working environment.
· Support supervisors with team member payroll accuracy and approvals as needed.
· Participate in client or internal meetings as requested.
· Complete all assigned projects promptly.
· Perform other related duties as needed.
Currance management is responsible for actively promoting compliance by integrating compliance messages into routine huddles, meetings, communications, and decision-making processes. This responsibility reinforces a culture of accountability, ethical conduct, and adherence to organizational policies and regulatory requirements.
Requirements:Requirements & Qualifications:
· High school diploma or equivalent (required); Associate degree preferred.
· Bachelor’s degree in healthcare management or a related field (preferred).
· CRCR certification required or must be obtained within 90 days of hire.
· Minimum 5 years of experience as a revenue cycle lead or supervisor, including direct reports.
· Minimum 5 years of hands-on billing experience.
· Experience working with multiple clearinghouses and EHR systems.
· Current billing certification (CPB) or actively pursuing certification.
Knowledge, Skills & Abilities:
· Understanding of healthcare revenue cycle administration, including CMS rules, HIPAA, and record retention guidelines.
· Familiarity with time management and continuous performance improvement.
· Understanding of IPO, WMM, and WMB processes.
· Competence in basic math.
· Strong written and verbal communication skills.
· Initiative and adaptability in learning new software applications.
· Ability to mentor, coach, and develop team members.
· Advanced analytical skills and problem-solving abilities.
· Proficiency in time management, leadership, decision-making, and ethical standards.
· Independence in managing and carrying out projects.
· Positive attitude and professional demeanor.
· Openness to feedback and commitment to growth and improvement.
· Reliability, punctuality, and flexibility to adapt to change.
· Ability to demonstrate accountability and measurable achievements within the revenue cycle.
Disclosure Statement:
As part of the Currance application and hiring experience, all candidates are subject to a criminal background check and a government exclusion check. The government exclusion check is a mandatory screening process that verifies whether an individual is listed on federal or state exclusion or watchlists, including but not limited to, the Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) and the System for Award Management (SAM.gov).
These screenings are conducted to ensure compliance with applicable federal and state laws and regulations, to protect the integrity of federally funded programs, the clients we support, and to prevent participation by individuals who are excluded due to fraud, abuse, or other misconduct. By submitting an application, candidates acknowledge and consent to these checks as a condition of employment or engagement.
Read LessClient Environment & Role Focus:
This Biller II role supports a complex hospital client environment requiring strong technical expertise and hands-on execution. The ideal candidate will be comfortable working in settings with:
Strong Louisiana Medicaid and Commercial billing knowledge preferred.Support of Hospital Billing (HB) workflows, including volume management and accuracyAdvanced Hospital Billing (HB) knowledge, including problem-account investigation, payer rejection complexities, etc.Daily work within MedHost and Experian, with an understanding of its claims processes Advanced Hospital Denial (HB) knowledge, including problem-account investigation, denial resolution and follow up with payers. Duties & Responsibilities:Prepare and submit billing data and medical claims (hospital and physician) to insurance companies in accordance with federal, state, and payer mandated guidelines.Comply with productivity standards while maintaining quality levels.Ensure proper hospital claim submission and payment through review and correction of claim edits, errors, and denials.Investigate, follow up with payers, and work claims as assigned.Perform posting billing adjustments.Ensure billing reroutes are worked timely and comply with company procedures.Conduct duties in a professional and timely fashion.Achieve maximum reimbursement for services provided.Punctual, dependable, and adapt easily to change.Must complete payor specific rules and regulations training.Requirements:Requirements & Qualifications:
Experience with MedHost and Experian system preferred.High school diploma or equivalent requiredAssociate's degree preferred2+ years of work experience as a Medical Biller or similar role.Proficiency in Microsoft Office Suite, Teams, and virtual meeting platforms (GoToMeeting, Zoom).Proficiency with computers including Microsoft Office Suite/Teams, GoToMeeting/Zoom, etc.Knowledge, Skills & Abilities:
Knowledge of ICD-10 Diagnosis and procedure codes and CPT/HCPCS codes.Knowledge of rules and regulations relative to medical billing practices and regulations.Knowledge of revenue cycle data analysis and interpretation.Skilled in medical accounts investigation.Skilled in billing software and electronic medical records.Skilled in analytical and critical thinking.Skilled in professional writing and communication.Skilled in time management and organization.Ability to problem-solve and organize.Ability to multitask and manage time effectively.Ability to provide attention to detail.Disclosure Statement:
As part of the Currance application and hiring experience, all candidates are subject to a criminal background check and a government exclusion check. The government exclusion check is a mandatory screening process that verifies whether an individual is listed on federal or state exclusion or watchlists, including but not limited to, the Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) and the System for Award Management (SAM.gov).
These screenings are conducted to ensure compliance with applicable federal and state laws and regulations, to protect the integrity of federally funded programs, the clients we support, and to prevent participation by individuals who are excluded due to fraud, abuse, or other misconduct. By submitting an application, candidates acknowledge and consent to these checks as a condition of employment or engagement.
Read LessBiller II: Client Environment & Role Focus:
This Biller II role supports a complex hospital client environment requiring strong technical expertise and hands-on execution. The ideal candidate will be comfortable working in settings with:
Strong Medicare and Medicare billing knowledge preferred.Support Medicare DDE RTP claims and trend analysis for prompt Medicare payments.Support of Hospital Billing (HB) workflows, including volume management and accuracyAdvanced Hospital Billing (HB) knowledge, including problem-account investigation, payer rejection complexities, etc.Daily work within Quadax and Meditech, with an understanding of its claims processesThis role requires a biller who can work through complexity, maintain accuracy under high-volume conditions, and proactively identify billing discrepancies while meeting productivity, quality, and compliance standards.
Requirements & Qualifications:
Experience with Meditech system preferred.High school diploma or equivalent requiredAssociate's degree preferred2+ years of work experience as a Medical Biller or similar role.Proficiency in Microsoft Office Suite, Teams, and virtual meeting platforms (GoToMeeting, Zoom).Proficiency with computers including Microsoft Office Suite/Teams, GoToMeeting/Zoom, etc.Knowledge, Skills & Abilities:
Knowledge of ICD-10 Diagnosis and procedure codes and CPT/HCPCS codes.Knowledge of rules and regulations relative to medical billing practices and regulations.Knowledge of revenue cycle data analysis and interpretation.Skilled in medical accounts investigation.Skilled in billing software and electronic medical records.Skilled in analytical and critical thinking.Skilled in professional writing and communication.Skilled in time management and organization.Ability to problem-solve and organize.Ability to multitask and manage time effectively.Ability to provide attention to detail.Disclosure Statement:
As part of the Currance application and hiring experience, all candidates are subject to a criminal background check and a government exclusion check. The government exclusion check is a mandatory screening process that verifies whether an individual is listed on federal or state exclusion or watchlists, including but not limited to, the Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) and the System for Award Management (SAM.gov).
These screenings are conducted to ensure compliance with applicable federal and state laws and regulations, to protect the integrity of federally funded programs, the clients we support, and to prevent participation by individuals who are excluded due to fraud, abuse, or other misconduct. By submitting an application, candidates acknowledge and consent to these checks as a condition of employment or engagement.
Read LessRequirements & Qualifications:
Experience with EPIC system preferred.High school diploma or equivalent requiredAssociate's degree preferred2+ years of work experience as a Medical Biller or similar role.Proficiency in Microsoft Office Suite, Teams, and virtual meeting platforms (GoToMeeting, Zoom).Proficiency with computers including Microsoft Office Suite/Teams, GoToMeeting/Zoom, etc.Knowledge, Skills & Abilities:
Knowledge of ICD-10 Diagnosis and procedure codes and CPT/HCPCS codes.Knowledge of rules and regulations relative to medical billing practices and regulations.Knowledge of revenue cycle data analysis and interpretation.Skilled in medical accounts investigation.Skilled in billing software and electronic medical records.Skilled in analytical and critical thinking.Skilled in professional writing and communication.Skilled in time management and organization.Ability to problem-solve and organize.Ability to multitask and manage time effectively.Ability to provide attention to detail.Disclosure Statement:
As part of the Currance application and hiring experience, all candidates are subject to a criminal background check and a government exclusion check. The government exclusion check is a mandatory screening process that verifies whether an individual is listed on federal or state exclusion or watchlists, including but not limited to, the Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) and the System for Award Management (SAM.gov).
These screenings are conducted to ensure compliance with applicable federal and state laws and regulations, to protect the integrity of federally funded programs, the clients we support, and to prevent participation by individuals who are excluded due to fraud, abuse, or other misconduct. By submitting an application, candidates acknowledge and consent to these checks as a condition of employment or engagement.
Read Less