Billing Specialist II

Rebis Health•Longmont, CO

1d•$25 - $30•Hybrid

About The Position

Aged receivables don't convert themselves, and payer denials don't resolve without someone who knows exactly how to fight them. As a Billing Specialist II at Rebis Health, you're the specialist who turns complex claims disputes into recovered revenue — and the person who makes the team behind you measurably better because of your presence. ABOUT REBIS HEALTH Rebis is a multidisciplinary sleep wellness center dedicated to transforming sleep health and restoring overall wellness. Our name represents the sacred union of healing disciplines, bringing together diverse expertise into a unified system of care designed to help individuals heal and thrive. Our mission is to restore and enhance individual healing by optimizing sleep health through a collaborative, compassionate, and highly coordinated approach. Our vision is to become the nation’s leading multidisciplinary center for sleep wellness, setting a new standard for both care and experience. At the heart of Rebis is a simple commitment: Every person who interacts with us should feel Loved, Heard, and Safe. We work in a culture grounded in integrity, service, and genuine curiosity — where the unglamorous work of billing and operations is understood as essential to the healing we provide. We move with purpose, take pride in precision, and believe that a well-run back office is how patients trust us with their care. Why This Role Matters The denials you fight and win are revenue that would have evaporated in less capable hands — funding the clinical programs that help our patients sleep, breathe, and heal. And every Level I biller you sharpen makes the whole team stronger. You don't just recover revenue; you raise the standard for how it's done.

Requirements

You've worked in medical billing long enough to know where payers hide the traps — and how to route around them.
You're analytical: you don't just fix denials, you track patterns.
You own your accounts end-to-end, including the parts that require an extra call, a manual appeal, or pushing back on a payer that's slow-walking a legitimate claim.
You're genuinely patient with people (patients, teammates, payers) and efficient with your time.
You're the kind of person who likes seeing junior team members grow — not as a side responsibility, but because you understand that team performance is your performance.
2+ years of Medical Billing experience with a demonstrable track record in denial management and A/R recovery.
Experience building and submitting appeal packets that win.
Working knowledge of payer-specific billing rules and prior authorization processes.
Strong experience in Athenahealth and/or Brightree, a comparable EHR/PMS preferred.
Ability to explain a complex billing situation to a patient clearly and without making it worse.

Nice To Haves

Experience in Sleep Medicine, DME, Neurology, or specialty outpatient billing
a track record of formally or informally mentoring a junior biller
you track your own appeal win rates (or wish someone had made you from the start)

Responsibilities

Aged A/R converted to cash. Your assigned aging buckets get worked at ≥1.5 touches per account per week, and by the end of each month you've reduced the 90+ day bucket by ≥60%. That number is yours — not a team goal, not a directional aspiration. You own the accounts, you own the metric.
Complex denials resolved at pace. You handle the harder denial mix: prior auth disputes, complex payer reversals, claims that need clinical context and appeal strategy. You meet daily throughput benchmarks on complex denials and keep your 14-day rework rate well under ceiling. Every denial gets an outcome — rebill, appeal, escalate, or close — not a holding pattern.
Appeals submitted right and on time. ≥95% of your appeal packets go out within 5 business days of readiness, with ≤2% incomplete packet rate. You track overturn rates over time and use them to sharpen your approach — which payers respond to what arguments, which denial categories are winnable, where to spend the effort.
High-dollar accounts flagged and actioned. Every account above threshold gets reviewed biweekly and moved. If an account requires escalation, it goes with full documentation within the required window. Nothing sits because it's complicated.
Denial trends identified and escalated before they compound. When you see a recurring pattern, you document it, analyze it, and escalate it with evidence within 5 business days. You're not just processing recurring denials — you're surfacing the root cause so someone upstream can fix it.
Level I teammates doing better work because of you. Each month, you complete a QA review and a documented coaching session with at least one Level I team member. You share what you know about payer quirks, appeal strategies, and documentation precision — and you make the team better as a result.
Patient financial conversations that leave people confident. When you handle billing calls involving payment plans, disputes, or high-balance accounts, you hold ≥90% QA scores for clarity, empathy, and accuracy. Patients in difficult financial situations should leave the call with a clear path, not more anxiety.