Billing & A/R Specialist

OnPoint Medical Group • Highlands Ranch, CO

15h • $21 - $27 • Onsite

About The Position

OnPoint Medical Group is searching for an outstanding Billing & A/R Specialist to join our team! Come join a great group of medical professionals as our network continues to grow! OnPoint Medical Group is a physician-led network of skilled Primary and Urgent care providers who are committed to expanding access to quality healthcare in the most effective and affordable manner possible. Our "Circle of Care" has one primary goal – to ensure the health and wellness of members and their families. We do this by providing access to a comprehensive menu of medical services from one unified physician group in their neighborhoods. With doctors, nurses, specialists, labs and medical records all interlinked and coordinated, patient care has never been in better hands.

Billing and A/R specialist requirements include full revenue cycle duties including submitting a clean claim and/or assisting with said submission, verify contractual payment is received and/or appealing a denial, answering patient phone calls and reviewing patient statements, working A/R.

OnPoint Medical Group is seeking an outstanding Billing & Accounts Receivable (A/R) Specialist to join our growing team. This is an excellent opportunity to become part of a physician-led organization committed to delivering high-quality, accessible, and affordable healthcare. This position is located on-site in the Highlands Ranch, CO corporate office.

Position Summary

The Billing & A/R Specialist is responsible for supporting all aspects of the revenue cycle, including claims submission, payment review, denial follow-up, appeals, patient account support, and accounts receivable management. This role requires strong attention to detail, knowledge of medical billing processes, and the ability to communicate effectively with patients, providers, and insurance carriers.

Requirements

• High school diploma or equivalent
• Strong computer skills
• Minimum of 5 years of healthcare experience
• Minimum of 1 year of medical billing experience

Nice To Haves

• Some college coursework in medical administration, business, or accounting
• Bilingual skills
• Experience with electronic medical records (EMR), preferably Athenahealth Practice Management
• Certified biller and/or coder preferred
• Equivalent combination of 5+ years of billing, coding, or advanced insurance knowledge may be considered
• Provide service that aligns with the mission and values of the clinic.
• Demonstrate courtesy, professionalism, and respect when interacting with patients, family members, and colleagues.
• Maintain patient confidentiality in accordance with company policy, procedure, and HIPAA requirements.
• Follow appropriate chain-of-command procedures when addressing patient concerns or complaints.
• High level of energy and adaptability in a fast-paced environment
• Ability to make sound, fact-based decisions
• Commitment to compassion, quality, loyalty, and conscientiousness
• Ability to establish and maintain effective working relationships with patients, families, and staff

Responsibilities

• Work directly with insurance companies, healthcare providers, and patients to ensure claims are processed accurately and paid in a timely manner.
• Submit clean claims or assist with claim submission as needed.
• Verify contractual payments and investigate payment discrepancies.
• Review, correct, and appeal unpaid or denied claims.
• Run and analyze A/R reports.
• Work unpostables, denials, and claim worklists in accordance with Athenahealth best practices.
• Respond to patient calls regarding billing questions and account statements.
• Review and resolve outstanding accounts receivable balances.
• Resolve a minimum of 37 claims per day from assigned claim worklists.
• Maintain accounts receivable balances at less than 180 days outstanding.
• Answer patient billing calls based on assigned phone responsibilities and minimize voicemail backlogs.
• Perform duties in accordance with the standard Billing Compliance and Billing Guidelines.
• Maintain and follow strict privacy, confidentiality, and safety standards.
• Comply with all applicable governmental and regulatory requirements, including: HIPAA, OSHA, PCI DSS
• Maintain a clean, organized, and professional work environment.
• Distribute faxes and related documents to billing department staff, as appropriate.
• Perform other administrative duties as assigned.

Benefits

• Health insurance plan options for you and your dependents
• Dental, and Vision, for you and your qualified dependents
• Company Paid life insurance
• Voluntary options for short-term disability, and long-term disability coverage
• AFLAC Plans
• FSA options
• Eligible for 401(k) after 6 months of employment with a 4% match that vests immediately
• Paid Time-Off earned

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED