Billing Specialist, Provider Services (eCW)
Core
Manage the full professional claims cycle in eClinicalWorks (eCW), from charge review and claim submission through payment posting, denial resolution, and final claim closure, with an immediate priority on clearing the $0 remit backlog.
Role type
Billing Specialist (Provider Services)
Builds
Cleaned claim files and resolved payment remittances for healthcare providers
Domain
Healthcare billing and revenue cycle management
Required skills
eClinicalWorks (eCW) billing, Medicare Part B professional claims, 835 ERA file interpretation, CARC/RARC code analysis, denial management, appeals preparation, timely filing compliance
Preferred skills
Noridian and Medicare Jurisdiction F experience, Medicare takebacks and recoupments handling, provider services billing management
Technologies
eClinicalWorks (eCW), 835 ERA files
Responsibilities
Manage complete claim cycle including charge review, submission, clearinghouse rejections, and resubmissions; Post ERAs and EOBs accurately including payer recoupments; Investigate zero-payment remittances and determine next actions like rebilling or appeals; Maintain detailed claim notes and provide written updates on payment issues
Seniority
Individual Contributor, experienced specialist