Billing Specialist (S0035)

Axis Health System•Durango, CO

13d•Onsite

About The Position

The Billing Specialist manages healthcare accounts receivable and ensures accurate, timely processing of billing, payments, and account adjustments. The role includes submitting and resolving claims, posting payments based on explanations of benefits (EOBs), researching and correcting billing discrepancies, and maintaining accurate patient account records. The specialist also handles inbound patient calls about billing, explains account balances, assists with payment concerns, and provides customer service. The position identifies error trends, supports workflow improvements, and collaborates with internal teams to improve revenue cycle processes. This is a full-time, in-person position in Durango, Colorado. Only Colorado residents will be considered. The role requires a high school diploma and two to three years of relevant healthcare billing and collections experience. A bachelor's degree and Medical Coder Certification are preferred. The stated hourly salary range is $21.25–$27.30, with pay considering preferred experience, education, and regional locale. Axis Health System is a provider of behavioral health and integrated primary, dental, and behavioral health care on Colorado’s Western Slope. The organization offers a range of services, including recovery groups, Medication Assisted Treatment, outpatient mental health programs, primary care, diabetes education, crisis services, resource navigation, insurance enrollment, and tele-video access across its locations.

Requirements

High school diploma.
Two to three years of relevant experience in healthcare billing and collections.
Knowledge of patient health information privacy regulations, including HIPAA requirements.
Strong organizational skills and ability to follow policies, procedures, and guidelines accurately.
Excellent interpersonal, verbal, and written communication skills with a customer-focused approach.
Ability to work independently, prioritize tasks, and show initiative in a fast-paced environment.
Ability to maintain confidentiality and follow organizational security and compliance standards.
Working knowledge of medical billing and coding systems, including CPT, HCPCS, ICD, and DSM.
Understanding of the healthcare revenue cycle, including claims processing, payment posting, account reconciliation, collections, and reimbursement methodologies.
Knowledge of Medicare, Medicaid, and commercial insurance plans, and ability to interpret EOBs, process adjustments, and manage insurance correspondence.
Ability to identify, investigate, and resolve billing errors, claim denials, account discrepancies, credits, refunds, and outstanding patient balances while maintaining supporting documentation.
Strong customer service and communication abilities for patient-account matters through calls, written correspondence, and other communications.
Strong analytical, problem-solving, mathematical, and financial reconciliation skills, with sound judgment and ethical decision-making.
Proficiency with EHR systems, Microsoft Office applications—particularly Excel, Word, and Outlook—internet-based applications, and standard office equipment.
Ability to manage a high-volume workload, prioritize tasks, and maintain accuracy and attention to detail in a fast-paced environment.
Ability to interact professionally with patients, staff, vendors, insurance representatives, and other stakeholders.
Flexibility to work additional hours, travel occasionally if applicable, and take on additional responsibilities as needed.
Valid driver's license with an insurable driving record in accordance with organizational requirements.
Ability to meet physical demands that include occasionally lifting or moving 15 to 50 pounds; frequently walking, sitting, standing, or kneeling; occasionally climbing, balancing, or stooping; and sitting at a computer for long periods.
Ability to travel between Axis locations; occasional statewide and domestic travel may be expected depending on the position.
Annual flu immunization by November 1, annual TB screening, de-escalation training, and BLS certification, as required for the position.

Nice To Haves

Bachelor's degree.
Medical Coder Certification.
Experience handling patient billing inquiries and providing professional customer service over the phone.

Responsibilities

Resolve revenue cycle issues to maximize collections on insurance and self-pay accounts.
Identify and report error patterns while meeting time constraints.
Assist with workflow design to reduce billing errors, overpayments, underpayments, and claim denials.
Ensure timely and efficient billing of claim submissions and appeals.
Enter account adjustments accurately according to established guidelines.
Follow up on accounts according to current collections policies.
Manage accounts receivable aging within established expectations.
Provide information to other staff to support consistency in the revenue cycle.
Maintain knowledge of reimbursement rules and regulations to support compliant billing and collection practices.
Provide excellent customer service to patients.
Work independently on assigned tasks.
Participate in additional activities and project assignments as needed.
Handle patient billing inquiries, explain account balances, and assist with payment-related concerns.
Submit and resolve claims, post EOB-based payments, research billing discrepancies, and maintain accurate patient account records.
Collaborate with internal teams to optimize revenue cycle processes.