Billing Operations Specialist

Nimble Solutions•New Hyde Park, NY

About The Position

The Billing Operations Specialist manages and executes daily billing activities, including accurate patient invoicing and follow-up with clients and patients. The role works with internal departments and external stakeholders to resolve billing discrepancies, optimize revenue capture, and maintain compliance with applicable regulations and payer requirements. Under the direction of the Billing Manager, the specialist helps ensure timely billing and supports revenue cycle processes. The ideal candidate has medical-environment experience, strong customer service skills, and motivation to learn.

Requirements

  • High school diploma or equivalent.
  • At least 2 years of experience in medical or corporate billing, revenue cycle, or accounts receivable roles.
  • Familiarity with insurance billing guidelines, CPT/ICD-10 codes, and electronic health record (EHR) or practice management systems such as Epic, Athena, or Cerner.
  • Strong analytical and problem-solving abilities.
  • Proficiency in Microsoft Office Suite, including Excel, Outlook, and Word.
  • Excellent attention to detail and organizational skills.
  • Strong written and verbal communication skills.
  • Ability to multitask and work independently in a fast-paced environment.
  • Knowledge of HIPAA and regulatory billing requirements.

Responsibilities

  • Post write-offs in the billing system as appropriate.
  • Collaborate with coding, collections, and accounts receivable teams to support seamless revenue cycle processes.
  • Respond to billing inquiries from clients, patients, or insurance companies in a timely and professional manner.
  • Assist in implementing new billing processes, systems, or software upgrades.
  • Submit invoices to patients.
  • Manage patient outstanding balances.
  • Generate and mail patient statements.
  • Set up patient payment plans.
  • Maintain accurate patient demographic and insurance information.
  • Follow up with payers and handle billing discrepancies.
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