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Allergy Partners PLLC
1,001 – 5,000 Employees
B2CHealthcare
Allergy Partners PLLC is a healthcare organization focused on specialty allergy and asthma care in the United States. Its network of allergists and immunologists diagnoses and treats conditions including asthma, food allergies, eosinophilic esophagitis, sinusitis, hives, and anaphylaxis. Care may include allergy and pulmonary testing, allergy shots, biologic therapies, food and environmental immunotherapy, pharmacy services, patient-portal support, and clinical research. The organization combines locally delivered treatment with the resources of a national network and reports a team of roughly 150 allergists and immunologists.
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Remote Billing Integrity Specialist – Allergen Immunotherapy

Supports accurate, compliant charge entry and billing for allergen immunotherapy in a remote role with Allergy Partners. Researches payer requirements, reviews medical records, resolves denials, and advises practice teams on billing policies.

USUnited StatesNCNorth CarolinaRemoteFull-timeJuniorMiddleNo degree requiredEnglish RequiredBilling SpecialistGeneral

Description

  • Enter and review allergen immunotherapy charges for accuracy and compliance with federal and payer coding and billing rules.
  • Apply AP protocols and payer policies when entering CPT codes and processing bills.
  • Research payer manuals, guidelines, and billing rules, and report updates to the Supervisor.
  • Complete assigned responsibilities within established timelines and performance standards.
  • Follow applicable federal, state, and payer requirements.
  • Recommend billing process and policy improvements to the team lead.
  • Communicate with practice managers and staff about billing policies, procedures, and regulations.
  • Review medical records to determine whether refill, restart, reformulation, and new orders are appropriate.
  • Investigate and respond to internal questions about charge entry, billable services, and denials.
  • Coordinate across departments to enter charges into the practice management system according to protocols and payer guidelines.
  • Maintain detailed knowledge of payer clinical guidelines and reimbursement policies.
  • Support accounts receivable representatives with insurance denials by reviewing records, explaining billing issues, and helping coordinate resolutions.
  • Assist with billing questions and medical record reviews during pre-billing review.
  • Contribute to special billing integrity projects as assigned.
  • Complete required training and follow the Code of Conduct, Compliance Program, and department policies.
  • Handle other job-related responsibilities as assigned.
  • This role has no supervisory responsibilities.

Requirements

  • High school diploma or GED equivalent.
  • AHIMA or AAPC coding certification preferred.
  • Two years of physician-office charge-entry or billing experience involving complex rules.
  • Two years of experience in physician-office operations.
  • Strong oral and written communication skills.
  • Proficiency with Microsoft Excel, Microsoft Word, and electronic health records.
  • Four years of physician charge-entry experience involving complex rules preferred.
  • Two years of experience billing for multiple physicians and locations preferred.
  • Experience with practice management software and electronic medical records preferred.
  • Knowledge of medical terminology preferred.
  • Experience with allergy-specialty physician billing preferred.
  • Knowledge of coding and billing complexities for specialty physician-office charge entry.
  • Ability to exercise independent judgment and handle confidential information.
  • Understanding of HIPAA and the ability to protect protected health information confidentiality and privacy.
  • Ability to analyze information and solve problems.
  • Strong communication and interpersonal skills.
  • Knowledge of regulatory and policy matters related to coding and billing.
  • Awareness of current and emerging medical billing issues, trends, and payer requirements.
  • Ability to clearly explain billing requirements to providers, practice managers, and staff.
  • Understanding of and experience with electronic health records and physician practice management and billing applications.
  • Excellent organization skills and the ability to manage multiple tasks within set deadlines.
  • Ability to communicate and collaborate effectively across departments.

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