Billing Specialist (Remote)

Pyramid Healthcare•Altoona, PA

8d•Remote

About The Position

The Billing Specialist is responsible for accurately preparing, reviewing, and submitting patient billing claims while ensuring completeness, compliance, and timely reimbursement. This position works closely with clinical and administrative staff and insurance representatives to resolve billing issues, correct claim denials, and support accurate financial processing across the organization.

Requirements

High School Diploma or equivalent required.
Minimum of two (2) years of experience in medical billing required.
Strong attention to detail and accuracy in data entry and mathematics.
Ability to prioritize tasks and meet deadlines in a fast-paced environment.
Ability to communicate effectively with clinical staff, insurance representatives, patients, and other internal and external stakeholders.
Working knowledge of medical billing processes and payer requirements.
Ability to problem-solve and follow up on outstanding issues.
Demonstrates professionalism and strong customer service skills.
Ability to work both independently and as part of a team.
Ability to accurately review and process billing and claim information.
Ability to identify claim errors, missing information, payer edits, and denials and take appropriate action to support resolution.
Ability to manage multiple claims, follow-up activities, and competing priorities while maintaining accuracy and productivity.
Ability to learn and effectively utilize billing software, electronic systems, and other technology required for the position.
Ability to maintain confidentiality and appropriately handle sensitive patient and financial information.
Strong organizational and time-management skills.

Nice To Haves

Post-secondary education in healthcare administration, billing, finance, or related field preferred.
Experience working with insurance companies and billing software preferred.

Responsibilities

Review patient bills for accuracy and completeness and obtain missing information as needed.
Prepare, review, and submit claims using billing software, including electronic and paper claim processing.
Identify, correct, and resubmit claims impacted by electronic payer edits or denials.
Identify and bill appropriate secondary and tertiary insurance carriers.
Assist with follow-up on outstanding claims to support timely payment and reimbursement.
Communicate with insurance companies, internal departments, and clinical staff regarding billing inquiries.
Maintain accurate billing documentation in accordance with company, payer, and regulatory standards.
Prioritize work to meet established deadlines and productivity expectations.
Deliver excellent customer service when interacting with patients, staff, and insurance representatives.
Identify billing issues and obtain or communicate information necessary to support claim resolution.
Maintain accuracy and attention to detail when entering, reviewing, and processing billing information.
Exercise discretion and maintain confidentiality with regard to all company information.
Completion of all required trainings as designated by the company and accreditation/licensing entities.
Other duties as assigned.