Billing Specialist Jobs

About The Position

Requirements

• Bachelor’s degree and/or 3-5 years claims experience
• Previous medical office experience a plus
• Strong research and analytical skills
• Ability to work independently and escalate for assistance as needed
• Strong communication and ability to work with various internal and external parties to resolve member issues
• Excellent organizational, time management, and customer service skills
• Ability to proactively identify payer and provider trends, and to communicate this to management
• Excellent listening skills and ability to empathize with members
• Excellent computer skills and experience in Microsoft Office Suite
• Service-focused, highly personable individual who loves dealing with people, solving their problems, and providing them with a great customer experience
• Relentlessly inquisitive, love researching and finding new answers
• Strong analytical skills and understand advocacy vs simply answering a question
• Act professionally, especially when assisting others who are experiencing challenges
• Multitasking and working quickly and efficiently
• Ability to react to a rapidly growing consumer base
• Passionate about making a difference in people’s lives
• Positive outlook on life and willing to go above and beyond to offer assistance to others.
• Excellent computer skills

Nice To Haves

• Previous medical office experience a plus

Responsibilities

• Handle some escalated and complex cases in a timely manner to identify opportunities to resolve the issue by working with plan documents, carriers, providers, and members.
• Research plan information and identify where there may be conflicting information.
• Research billing issues to determine the possible cause of the error, and assisting with claims resubmission when needed to correct the issue.
• Serve as a resource of help to other claims specialists who need assistance and have questions on their cases.
• Analyze and resolve billing issues using plan documents, interpretation of benefits, medical, dental, vision, behavioral health billing and claims adjudication, and FSA, HRA and HSA plans.

Benefits

• medical
• dental
• vision
• paid time off
• parental leave
• other company-sponsored benefits