Billing Specialist

Electromed Inc.•New Prague, MN

40d•$22 - $30

About The Position

The Billing Specialist submits patient bills to appropriate payers and follows up on open accounts accurately and promptly. The role ensures timely claim submission and follow-up, reconciles claims, resolves issues that support appropriate adjudication, and responds knowledgeably to complex denial issues with insurance companies. The specialist works with internal Reimbursement and Accounting teams and supports reimbursement goals through accurate billing, payment reconciliation, and patient communication.

Requirements

Two years of post-secondary education or equivalent work experience.
Experience with third-party and government payers.
Proficiency in Microsoft Office programs, including Outlook, Excel, and Word.
Experience with insurance claim software.
High attention to detail and accuracy, with the ability to handle multiple priorities.
Self-starter and motivated.
Ability to follow through professionally when working with various payers.
Ability to work independently and as a contributing team member.
Knowledge of insurance requirements and ability to evaluate medical justification to support appropriate reimbursement.
Excellent written and verbal communication skills.
Demonstrated exceptional customer service skills.
Ability to prioritize and organize.
Strong analytical and problem-solving skills.

Nice To Haves

Experience with insurance billing or reimbursement, preferably involving Durable Medical Equipment (DME).
Experience with professional claim submission.

Responsibilities

Follow Electromed's mission and core values while striving to achieve company goals.
Understand and adhere to applicable local, state, and federal healthcare regulatory and compliance rules.
Review billing files for appropriate modifiers, diagnosis codes, patient demographic information, and insurance before submission.
Use electronic billing and medical retrieval systems and payer websites to resolve insurance denials and patient issues.
Communicate effectively with internal customers, including the Reimbursement and Accounting Departments.
Ensure claims are processed and followed up in a timely manner to meet accounts receivable aging and cash receipt goals.
Review patient statements for accuracy.
Complete payment reconciliation according to contracted payer fee schedules.
Work to achieve monthly team goals.
Educate patients on complex billing situations.
Accurately record information in internal systems.
Complete other miscellaneous tasks as needed to support the reimbursement team.