Senior billing specialist job description

Primary responsibilities for this position include obtaining insurance verification and authorization for E&M visits and treatments as required by third party insurance carriers, companies and plans. Senior Biller will play a significant role in the accurate submission of claims so that payment is received in a timely manner with skills necessary to improve current billing procedures and reduce A/R days. Therefore, a solid working knowledge of ICD10 CM, CPT and HCPCS codes is essential as is the submission and appeal process for healthcare related insurance claims. Knowledge, skills & abilities to analyze data, perform in-depth evaluation and exercising judgment within the appropriate working knowledge of oncology billing and revenue cycle process, is preferred.
Obtaining and verifying authorizations as required by insurance companies and plans

by contacting the patient, when applicable, and coordinating with the financial clearance

center, when appropriate.


Daily entry & export of professional and/or facility charges in EHR databases Epic, Mosaiq and monitoring of associated work queues to facilitate charges from entry to payment.



Works with central billing office in resolving and resubmitting denied claims. Analyzes accounts within assigned work queues logistical and /or clerical problem resolution related to the patients' medical record, authorization and billing issues.



Keeps abreast of changes in authorization process, insurance policies, billing requirements,

rejection or denial codes as they pertain to claim processing and coding.


Assists patients with questions or concerns regarding their account. Works collaboratively with manager in analysis of billing data to improve current billing procedures and reduce A/R days. Mentors and/or assists with training of newly hired authorization and/or billing staff.



STANDARD QUALIFICATIONS



Associates degree required or Bachelor degree in business or related field preferred. 2+ years' experience working in healthcare billing and/or coding preferred with good working knowledge of ICD10-CM, CPT and HCPCs coding. Experience coding and/or billing in radiation oncology or comparable preferred. Coding Certification from a professional organization or accredited institution required.


Other Qualifications: Comprehensive working knowledge of third party insurance process required. Attention to detail and ability to multi-task and meet tight deadlines. Excellent problem-solving skills.

* Beaumont Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, gender, pregnancy, sexual orientation, gender identity or expression, veteran status, or any other legally protected category.

The Legal, Compliance and Policy Organization (LCPO) is seeking a detail oriented, organized, proactive, and responsive Senior Billing Specialist to manage the processing, auditing, and reviewing of outside counsel matters including budgets and invoices. The Senior Billing Specialist must have strong analytical and problem-solving skills with good judgment and sound decision-making ability, partnering with outside counsel billing staff and internal Intuit attorneys. The Senior Billing Specialist will need a thorough understanding of internal billing processes and accounting controls in accordance with Intuit's Legal's Outside Counsel Billing Guidelines and accounting processes. Other key responsibilities include, but are not limited to, data analysis, research and troubleshoot issues with clients and vendors, managing vendor setup, processing outgoing wires and settlements, training end users, and administering processes where billing systems interfaces to accounting systems.

We believe diversity and inclusion among our teammates produces better results and is critical to our success as a global company. We are committed to recruiting, developing, and retaining the most talented people from a diverse candidate pool.
What you'll bring

+ BA/BS in Accounting/Finance preferred.

+ 5+ years in legal billing or legal A/P role.

+ Excellent working knowledge of Thomson Reuters Legal Tracker or similar eBilling solution.

+ Excellent analytical skills.

+ Strong organization, time management and task prioritization skills.

+ Ability to work independently and resolve problems.

+ Strong customer service/support skills.

+ Strong attention to detail.

+ Ability to communicate effectively across all levels of an organization.

How you will lead

+ Own the end-to-end legal matter management process from creation to close.

+ Manage matter budgets - ensure appropriate approvals, monitor spend to budget and maintain adequate reporting and support documentation.

+ Research and troubleshoot issues with clients and vendors, manage vendor setup, process outgoing wires and settlements, train end users.

+ Administer processes to ensure completeness and accuracy of billing system interface to accounting system (Oracle).

+ Ensure compliance with Outside Counsel Billing Guidelines and related engagement letters - e.g., Time Keeper Rate Reviews, timeliness of billing ,etc..

+ Partner and communicate with internal Matter owners, Law Firms, AP and Technology communities to ensure adherence to processes and controls.

+ Create and manage reporting and dashboards to measure efficiency and effectiveness of matter management processes and controls.

+ Continually assess and design desk procedures and process flows. Ensure that workflows are designed to maximize internal controls and efficiency.

EOE AA M/F/Vet/Disability. Intuit will consider for employment qualified applicants with criminal histories in a manner consistent with requirements of local law.

Linden Lab, our overall parent company develops platforms that empower people to create, share, and thrive within virtual experiences. Founded in 1999, the company first launched Second Life , the groundbreaking virtual world enjoyed by millions around the globe, in 2003, which has since gone on to boast nearly two billion user creations and a vibrant $500 million (USD) economy.

Tilia Inc. , launched in 2017 by Linden Research, Inc., is a licensed money transmitter in the U.S. Tilia enables publishers of video games and virtual worlds to create in-world economies and monetize user interaction. Built to be robust, flexible, and secure, Tilia powers virtual economies of leading and cutting-edge publishers with hundreds of millions of dollars in circulation.

At Linden, we value a workplace that's as diverse as our products. As we continue to grow, we remain dedicated to building a company that is rooted in organizational health, strengths-based leadership, and the belief that teams are stronger than individuals. If you want access to the forefront of virtual words, this is the place for you. We've created space for everyone to find belonging and invite you to come as you are.

Role Overview

We're looking for an experienced Senior Billing Specialist to help us redesign and streamline the billing and remittance process, an important part of the revenue recognition cycle for a money transmitter. The Company is positioned for exponential growth and we are actively looking for a critical thinker who will lay the foundation to scale up and automate billing, reconciliation and remittance processes as well as reporting. This position will lead the effort to operationalize fund flows, including loading and redemption of stored value accounts, payment processing, token issuance and settlements of different types of transactions for accounting purposes. Furthermore, the Senior Billing Specialist will take full ownership of the management of safeguarding accounts for stored value accounts, payment processing and earned tokens to ensure full compliance with electronic money transmission regulations in jurisdictions where Tilia operates .

This role reports to the Director of Accounting and will partner with both the accounting and data teams in leading the billing/payment function.

What We'll Offer You

The stability of an established company with new startup momentum. An unparalleled opportunity to create relationships, systems, strategy and culture. An environment where your voice will be heard and your impact deeply felt. A sense of belonging where your work is appreciated and rewarded.

This position offers tremendous opportunity to lead cross-functional effort in design, build and improvement of the billing system/process. You will create business requirements for system and data teams, design the workflow and business processes for payment and billing operations

What We'll Create Together

• A scalable and automated billing system/process to ensure timely remittance, billing, and reconciliation. This encompasses engineering systems as well as business reports across multiple systems and data sources
• Strong customer relationships built upon timely reporting and dispute resolution
• Full fund flow cycles, mapping out the entire processes from the initiation of transactions in publishers' system, loading funds via different payment processors, issuance of tokens, redemption and settlements to the recording in accounting general ledger
• Strong rapport with legal, compliance, and data teams on matters pertaining to money transmitter license reporting, including producing monthly, quarterly, year-end financial and management reports
• Stewardship of billing and payment data

What You'll Bring to the Team

At Tilia, we celebrate all the dimensions of diversity, including diversity of experience. We recognize that candidates applying for this role will be most successful if they bring the following with them:

• 10+ years of experience in accounting and finance (specifically billings)
• Attention to details and excellent problem solving ability
• Strong knowledge of data analytics and business intelligence solutions such Metric Insight and Tableau
• Ability to work well under pressure in a fast-paced environment while meeting deadlines
• Excellent analytical and strong Microsoft office skills, with emphasis on advance Excel functions (vlookups, sumifs, and pivot tables)
• Ability to "connect the dots" - reconcile data from multiple systems to create a single source of truth
• Strong communications and writing skills; comfortable with presentations to regulatory authorities
• Ability to work independently to create new process and/or improve existing process to meet timely reporting and remittance requirements prescribed by customer contracts
• Experience working with payment processors preferred

If you feel like you don't meet all of the requirements for this role, we encourage you to apply anyway. The confidence gap and imposter syndrome can sometimes get in the way of meeting incredible candidates and we don't want it to get in the way of meeting you. We encourage you to reach out if you have belief in our mission and your own ability to contribute to our team!

The Fine Print

Work Environment & Physical Demands

As a remote-first company, we take great care to ensure an inclusive experience for all Tilians. You may be offered the opportunity to travel to company meetings and events, however this is not a requirement. We aim to optimize for remote attendance, not just accommodate it.

The physical demands and work environment described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.While performing the duties of this job, the employee is regularly required to use the computer and communicate with coworkers in a remote office environment. The employee frequently is required to stand or sit to complete work and may occasionally lift and/or move up to 10 pounds. The statements herein are intended to describe the general nature and level of work being performed by employees in this job. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of personnel so classified.

Diversity, Equity, Inclusion & Belonging Statement

Tilia celebrates diversity of thought, race, national origin and culture, age, experience, religion, economic and social status, gender identity and expression, sexual orientation, marital status, veteran status or disability status. Building a culture of inclusion and belonging allows us to create and share experiences with each other, and with our virtual communities. We always seek to maintain a diverse and welcoming workplace, and candidates from all backgrounds are encouraged to apply.