Billing Specialist (54011)

HEALTH SOLUTIONSPueblo, CO
13d$26 - $32Onsite

About The Position

Health Solutions is a premier wellness center focused on whole person care. With over 400 employees in Southern Colorado, you would be joining a mighty team of support and administrative staff, clinicians, physicians, nurses, and others in our efforts to improve the health and wellbeing of our community. We’re expanding and hiring a Billing Specialist to join our Revenue Cycle team at 41 Montebello Road, Pueblo, CO. What You’ll Be Doing In this role, you will manage the full lifecycle of patient billing and claims processing, including submitting weekly charges, uploading and working 837 files, and resolving denied claims within timely filing guidelines. You will follow up on payments, research discrepancies, reconcile patient accounts, and process adjustments with accuracy and efficiency. You’ll prepare patient statements, address customer inquiries, and collaborate with internal teams to ensure proper documentation and compliance. Throughout all activities, you will maintain strict adherence to HIPAA and uphold patient confidentiality.

Requirements

  • High school diploma and at least 3 years of patient billing experience and medical accounts receivable management
  • High degree of accuracy and attention to detail
  • Excellent organizational and time management skills
  • Knowledge of regulatory standards and compliance requirements
  • Ability to communicate clearly to outside agencies, vendors, and clients in a professional, courteous, and confidential manner
  • Must already be authorized to work in the US; sponsorships not available.

Nice To Haves

  • Experience working in Netsmart’s MyAvatar electronic health record systems
  • Spanish language skills
  • Health Solutions expects all staff to Adapt to change in the workplace and use change as an opportunity for innovation and creativity.
  • Take ownership of problems, brainstorm problem resolutions, and use sound judgment in selecting solutions to problems, and demonstrate consistent follow through.
  • Possess the job knowledge and skills to perform the fundamental job functions, and willingly assume greater responsibility over time regarding the scope of work.
  • Inspire and model collaborative teamwork and Human Kindness; and Demonstrate accommodation, politeness, helpfulness, trust building, appropriate boundaries, and flexibility in customer service.

Responsibilities

  • Compile and submit weekly charges
  • Upload 837’s into clearinghouse and work claims to ensure payment
  • Ensure denied claims in the clearinghouse are corrected and resubmitted within timely filing guidelines
  • Follow up on, collect and record payments
  • Research and resolve payment discrepancies
  • Follow established procedures for processing receipts and providing documentation to Finance
  • Perform patient account reconciliations, monitor accounts for non-payments and other irregularities
  • Process adjustments accurately and timely
  • Prepare patient statements
  • Investigate and resolve customer concerns, communicate with internal and external customers
  • Adhere to HIPAA guidelines and maintain patient confidentiality

Benefits

  • Competitive pay $25.56 to 31.77 Hourly (Dependent on experience, certification and shift)
  • Generous benefits package. For most positions, includes paid holidays, generous PTO, EAP, tuition reimbursement, retirement, insurances, FSA, and a premier wellness program
  • Insurance: Medical, Dental, and Vision, with low deductibles. Also, Wellness benefits program available.
  • HS Funded: EAP, LifeLock, Direct Path, Life and AD&D, LTD
  • Retirement 403(b) with employer match up to 6%
  • Additional Insurance: FSA, Voluntary Life, Sun Life Voluntary benefits, and pet insurance
  • Childcare
  • Flexible work schedule
  • Employee recognitions and celebrations
  • Warm and friendly work environment in which staff respect and learn from one another
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