Billing Specialist

Performance Optimal Health•Stamford, CT

About The Position

Join Performance Optimal Health , a leading wellness organization that takes a holistic approach to health through the Four Pillars of Optimal Health – Exercise, Nutrition, Recovery, and Stress Management . We empower clients to live better lives through exceptional care, service, and teamwork. We are seeking a Billing Specialist to join our growing Practice Administration/Billing team. This role combines all aspects of billing, insurance verification, authorizations, and accounts receivable follow-up . The ideal candidate is detail-oriented, organized, and thrives in a collaborative environment.

Requirements

High school diploma or equivalent (Associate degree preferred).
2+ years of experience in medical billing, AR, or insurance verification .
Working knowledge of CPT, ICD-10, and HCPCS codes and insurance reimbursement processes.
Proficiency in billing software, EMR systems, and Microsoft Office (Excel required); Prompt EMR experience is a plus.
Strong communication, organizational, and analytical skills.
Ability to handle confidential information with professionalism and integrity.
High attention to detail and accuracy in data entry and documentation.

Responsibilities

Review and process patient claims and invoices accurately and in a timely manner.
Verify insurance eligibility and benefits; obtain and track authorizations/pre-certifications as required by payers.
Resolve billing issues, denials, and underpayments by following up with insurance companies, patients, and internal staff.
Prepare and send appeals when claims are denied or underpaid.
Maintain complete and accurate patient records, including demographic, insurance, and authorization information.
Post payments and adjustments; monitor accounts receivable and ensure balances are collected efficiently.
Communicate coverage details, patient responsibilities, and financial agreements clearly with patients.
Protect patient confidentiality and comply with HIPAA regulations.
Collaborate with the billing, clinical, and front desk teams to ensure seamless revenue cycle operations.
Attend training sessions, webinars, and team meetings as required.