Healthcare Billing Specialist

Bloom Healthcare • Lakewood, CO

2d • $21 - $23 • Remote

About The Position

Billing A/R Specialist supports the financial health of the company by ensuring the fulfillment of targeted claim processing and revenue benchmarks. The candidate must have a strong background in physician billing as well as long term experience with communicating and working with payers and patients to resolve accounts and satisfy all inquiries.

Requirements

• Proficiency in medical billing and coding (ICD-10, CPT, HCPCS).
• Strong understanding of insurance processes, claim submission, and reimbursement policies (Medicare, Medicaid, commercial payers).
• Knowledge of electronic health records (EHR), practice management systems, and billing software (e.g., Mindbody, Healthcloud, etc).
• Familiarity with HIPAA compliance and healthcare regulations.
• Experience with denial management and appeals.
• Ability to analyze accounts receivable (A/R) reports and identify trends in denials, payments, and outstanding claims.
• Strong investigative and problem-solving skills to resolve claim issues and payment discrepancies.
• Detail-oriented with a high level of accuracy in financial reconciliation and claim processing.
• Understanding of revenue cycle KPIs and financial performance metrics.
• Proficiency in all Microsoft applications. i.e Word, Excel and Outlook
• Ability to operate computers and general office equipment (copier, fax, scanner) and multi line telephones
• Ability to work well with others in a positive manner at all times

Responsibilities

• Oversee the submission of accurate and timely claims to payers, ensuring compliance with regulatory and contractual guidelines.
• Review and correct claim errors to minimize denials and rejections.
• Monitor claim status and follow up on unpaid or denied claims.
• Investigate discrepancies and coordinate with payers and internal teams to resolve issues.
• Prepare and submit appeals with supporting documentation as needed.
• Stay updated on state and federal billing regulations (e.g., Medicare, Medicaid, HIPAA).
• Ensure coding compliance (ICD-10, CPT, HCPCS) and proper documentation to support claims.
• Utilize electronic health record (EHR) and practice management systems for billing and collections.
• Implement process automation and technology to enhance efficiency and accuracy.
• Ensure data security and privacy compliance.
• Answering inbound dedicated billing line
• Support company goals and objectives
• Other duties assigned by management when requested.

Benefits

• Opportunities for professional growth.
• Collaborative work environment with a passionate team making a difference in healthcare.
• Comprehensive health, dental, and vision insurance including an employer-paid benefit plan.
• 401(k) retirement plan.
• Employer-paid basic life and AD&D insurance.
• Generous PTO and paid holidays.
• Annual continued education allowance.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: No Education Listed
• Number of Employees: 51-100 employees