Billing Specialist (On-Site )

HR HealthCare•Denver, PA

2d•$20 - $23•Onsite

About The Position

We are seeking a detail-oriented and dependable Billing Specialist to join our team. This entry-level position supports the day-to-day billing operations by processing claims accurately and efficiently, maintaining billing information, and helping ensure claims are submitted in accordance with insurance payer requirements.

Requirements

High School Diploma
0–2 years in a healthcare office or administrative setting.
Proficiency in Microsoft Office and data entry.
Strong communication, organizational skills, and teamwork.

Nice To Haves

Familiarity with Brightree, Availity, or similar billing software.
Knowledge of CMS 1500 Claim Form

Responsibilities

Process 50–90+ claims daily with a focus on accuracy.
Review and verify billing codes (HCPCS), diagnostic information, and span dates for compliance.
Submit claims to insurance agencies, Medicare/Medicaid, and other payers.
Conduct eligibility checks using systems like Brightree and Availity.
Ensure patient insurance information is up to date and communicate coverage details (deductibles, coinsurance) to relevant teams.
Handle disputes, appeals, and follow-up tasks for denied or pending claims.
Address phone inquiries related to billing issues.
Maintain accurate records of claims and patient billing information.
Update patient accounts and billing systems as needed.
Work closely with the Customer Experience Team and management to resolve billing discrepancies.
Support office operations as needed (e.g., shipping confirmations, Sales Order reviews).