Patient Billing Support Specialist

Impireum•Katy, TX

About The Position

The Patient Billing Support Specialist delivers patient customer service and administrative support while helping ensure accurate, timely, and compliant revenue cycle billing. The role is a point of contact for patient billing inquiries and supports account resolution, claims management, denial resolution, and reimbursement activities. It contributes to patient satisfaction, operational efficiency, and financial performance through accurate billing records, fewer claim denials, and timely reimbursement. The specialist responds to patient questions about billing, balances, insurance claims, and payment status; explains statements and financial responsibilities; investigates account concerns; and documents interactions. The role also supports daily administrative work, maintains patient and billing records, coordinates with internal departments, and protects confidential information. Responsibilities include preparing and submitting insurance claims, monitoring claim status, verifying patient and insurance details, correcting discrepancies, communicating with payers, investigating and resubmitting denied claims, and documenting resolution outcomes. The specialist maintains compliance with payer requirements, organizational policies, HIPAA, and applicable regulations, and identifies opportunities to improve billing accuracy and administrative processes. Performance is assessed through service quality, claim accuracy and denial resolution, follow-up on unpaid claims, accounts receivable measures, record accuracy, and timely completion of administrative work.

Requirements

Experience in customer service, administrative support, healthcare billing, or revenue cycle management is preferred.
Strong written and verbal communication skills.
Excellent attention to detail and organizational skills.
Ability to manage multiple tasks while maintaining accuracy.
Strong problem-solving skills and a patient-focused approach.
Proficiency in computer systems and data entry.
Ability to work independently and collaboratively.
Commitment to patient confidentiality and professional conduct.

Nice To Haves

Familiarity with insurance claims, billing processes, and payment follow-up.

Responsibilities

Respond to patient inquiries about billing, account balances, insurance claims, and payment status through phone, email, and other communication channels.
Explain billing statements, insurance payments, and patient financial responsibilities clearly and accurately.
Investigate and resolve patient billing concerns and account discrepancies, and follow up on unresolved inquiries.
Document patient interactions and account updates accurately.
Perform daily administrative tasks, including data entry, document processing, account updates, and maintenance of patient and billing records.
Coordinate with internal departments to resolve billing and administrative issues.
Prepare, review, and submit insurance claims accurately and on time.
Monitor claim status and follow up on unpaid or outstanding claims.
Verify patient demographics, insurance information, and billing details; identify and correct billing discrepancies.
Communicate with insurance payers to resolve claim-related issues and support timely reimbursement.
Investigate the root causes of claim denials and rejections, correct and resubmit claims, and follow up with payers.
Document denial reasons, corrective actions, and resolution outcomes; identify recurring issues and help prevent future denials.
Maintain compliance with insurance payer requirements and organizational policies, protect confidential patient information in accordance with HIPAA and applicable regulations, and maintain documentation supporting audits and reporting.
Identify opportunities to improve billing accuracy and administrative processes.
Organize and prioritize assigned tasks, meet deadlines, and follow through on outstanding issues.