Billing And Collections Specialist

Aston Carter

11h•Onsite

About The Position

The Billing & Collections Associate serves as a specialized insurance claims and collections expert, owning claims end-to-end from initial submission through final payment resolution. This role focuses heavily on insurance denials, appeals, and collections rather than high-volume transactional billing. You will interpret explanations of benefits (EOBs), manage complex payer denials, prepare and submit appeals, and follow up persistently with insurance carriers to secure accurate and timely reimbursement. You will work within the finance organization as part of a small, highly accountable team handling complex, non-par and out-of-network claims across multiple payers.

Requirements

High school diploma or equivalent.
1–2+ years of experience in healthcare insurance billing, collections, denial management, or appeals.
Hands-on experience working with insurance payers, explanations of benefits (EOBs), and appeals.
Strong denial management skills, with the ability to analyze and respond to payer denials.
Proven experience in appeals processing, including preparing and submitting appeals and tracking outcomes.
Solid healthcare insurance billing knowledge, particularly in environments focused on collections rather than high-volume billing.
Collections mentality with a focus on driving claim resolution and securing payment.
Ability to interpret EOBs independently and determine appropriate next steps.
Strong attention to detail and accuracy in a non-automated billing and collections environment.
Demonstrated timeliness, ownership, and accountability for assigned claims and tasks.
Adaptability and openness to new processes, without being rigidly attached to how things were done in previous roles.
Effective problem-solving skills when payer responses are inconsistent, unclear, or complex.
Professional verbal and written communication skills when interacting with insurance carriers and internal teams.

Nice To Haves

Experience working in denial management–heavy environments.
Exposure to durable medical equipment (DME) billing and related reimbursement processes.
Familiarity with durable medical equipment (DME) and its specific billing requirements.
Experience with Medicare, Medicaid, and commercial payers.
Understanding of in-network versus out-of-network billing challenges and reimbursement dynamics.
Comfort working in a smaller, highly accountable team environment.
Curiosity, adaptability, and a willingness to learn a unique reimbursement model.
Persistence and resilience when managing repeated denials and appeals.
Strong sense of ownership, taking responsibility for claims through final resolution.
No formal certifications required; practical, hands-on experience is highly valued.

Responsibilities

Own insurance claims end-to-end, from initial submission through final payment resolution.
Review and interpret explanations of benefits (EOBs) independently to determine next steps for each claim.
Identify, manage, and resolve payer denials, including researching denial reasons and determining appropriate appeal strategies.
Prepare, submit, and track appeals to insurance carriers, ensuring timely and accurate documentation.
Conduct persistent and professional follow-up with insurance payers to secure payment and resolve outstanding issues.
Prioritize denial management and appeals work over high-volume transactional billing activities.
Work with complex, non-par and out-of-network claims across multiple payers, including commercial plans and government programs where applicable.
Apply a collections mindset to drive claim resolution and recover outstanding balances.
Maintain strong attention to detail and timeliness in a largely non-automated reimbursement environment.
Collaborate closely with a small billing and collections team to share information, resolve issues, and improve processes.
Adapt to a unique reimbursement model by asking questions, seeking clarification, and applying feedback.
Communicate professionally with insurance carriers and internal stakeholders, documenting all interactions and outcomes.
Contribute to a culture that values doing the work correctly rather than rushing volume, ensuring accuracy and compliance in all activities.