Billing Associate

About Us

At Alteva RCM, we're dedicated to helping healthcare providers thrive through expert revenue cycle management, strategic insight, and innovative solutions. We're always looking for passionate, driven professionals who want to make a meaningful impact, grow their careers, and be part of a collaborative team committed to excellence.

Position Summary  

The Billing Associate is responsible for timely and accurate front-end billing execution for assigned accounts, including claim intake and scrubbing, coordination with coding teams, and billing charge entry and release. This role focuses on accuracy, timeliness, and adherence to established processes. As the front end of operations, the Billing Associate serves as the first line of defense in ensuring claims are complete and accurate, setting clients up for success by driving claim processing, payer response, and reimbursement outcomes. 

 Key Responsibilities  

Account Setup 

• Conduct claim intake for assigned new accounts  
• Ensure claims are complete and required documentation is validated prior to requesting coding  
• Route claims to coding teams, ensuring coding is completed in a timely manner   
• Release charges upon completion of coding and validation steps  
• Conduct billing setup, including billing rule configuration and workflow alignment for newly onboarded accounts  

Account Maintenance  

• Maintain accurate billing rules and account details within internal systems  
• Ensure that the claim intake, demographics, coding, and charge release processes are running smoothly for all assigned accounts 
• Adhere to defined workflows, timelines, and quality standards  

Communication & Escalation Management  

• Resolve standard internal billing questions from support teams and flag issues requiring further review to the Billing Support Team Manager 
• Communicate with clients regarding missing information and basic processing issues  
• Monitor claims billed to evaluate consistent volume 
• Evaluate account instructions, and claim-level issues for assigned accounts to ensure consistency and clarity  

Performance Metrics  

• Zero Claims missed timely filing 
• GAP cases captured and properly billed  
• All claims released within 2 weeks of being received.  
• 98% accuracy rate on billing output  
• Escalations resolved within 3-5 days 
• SLA adherence across assigned accounts  

Experience & Requirements  

• High School Diploma or equivalent required; Associate’s or Bachelor’s degree preferred  
• 0-2 years of experience in physician collections, A/R follow-up, and denial management  
• Proficiency in Microsoft Office applications (Excel, Word, Outlook); experience with reporting and data analysis tools preferred  
• Proven ability to multi-task, prioritize workload, and meet deadlines in a fast-paced environment  
• Strong communication and interpersonal skills  

Additional Qualifications  

• In-depth knowledge of HIPAA regulations and healthcare privacy laws; maintains strict compliance at all times.  
• Exceptional attention to detail and organizational skills.  
• Ability to work independently while contributing to a team-oriented environment  
• Demonstrated problem-solving skills with a proactive and solution-driven approach  

Benefits

Alteva RCM offers our employees a comprehensive benefits package, including health, dental, vision, employee assistance plan, paid family leave, short-term disability and life insurance. We also provide a 401(k) plan with employer match, flexible spending accounts, employee discount program and an employee referral program.