Billing Specialist Jobs

About The Position

Requirements

• High school diploma, or equivalent.
• 2-3 years’ experience working in a healthcare billing and collections.
• Working knowledge of medical billing and coding systems, including CPT, HCPCS, ICD, and DSM.
• Strong understanding of the healthcare revenue cycle, including claims processing, payment posting, account reconciliation, collections, and reimbursement methodologies.
• Knowledge of Medicare, Medicaid, commercial insurance plans.
• Ability to accurately interpret Explanation of Benefits (EOBs), process account adjustments, and manage insurance correspondence.
• Ability to identify, investigate, and resolve billing errors, claim denials, account discrepancies, credits, refunds, and outstanding patient balances while maintaining appropriate supporting documentation.
• Experience providing professional customer service through inbound and outbound calls, written correspondence, and other communications related to patient accounts, billing inquiries, collections, and payment arrangements.
• Strong analytical, problem-solving, mathematical, and financial reconciliation skills with the ability to exercise sound judgment and make ethical decisions.
• Proficiency with Electronic Health Records (EHR) systems, Microsoft Office applications (particularly Excel, Word, and Outlook), internet-based applications, and standard office equipment.
• Excellent organizational skills with the ability to manage a high-volume workload, prioritize tasks effectively, and maintain accuracy and attention to detail in a fast-paced environment.
• Strong interpersonal and communication skills with the ability to interact professionally and effectively with patients, staff, vendors, insurance representatives, and other stakeholders.
• Demonstrate commitment to maintaining confidentiality, privacy, and security of patient and organizational information in accordance with applicable regulations and organizational policies.
• Valid driver's license with an insurable driving record in accordance with organizational requirements.
• Annual Flu immunization.
• Annual TB screening.

Nice To Haves

• AA/AS in Healthcare/Accounting/Business.
• Experience in payer portal use.
• Experience in clearing house edits.
• Experience in claim follow up.

Responsibilities

• Managing healthcare accounts receivable.
• Ensuring accurate and timely processing of billing, payments, and account adjustments.
• Submitting and resolving claims.
• Posting payments based on explanations of benefits (EOBs).
• Researching and correcting billing discrepancies.
• Maintaining accurate patient account records.
• Handling inbound calls from patients to address billing inquiries, explain account balances, assist with payment-related concerns, and provide exceptional customer service.
• Identifying error trends.
• Supporting workflow improvements.
• Collaborating with internal teams to optimize revenue cycle processes.

Benefits

• Medical (HDHP or PPO)
• Long Term Disability
• 401k offering up to 4% match
• Short Term Disability
• Health Savings Account
• Dental
• Flexible Spending Account
• Vision
• Dependent Care Account
• Pet Insurance
• Life Insurance
• College Invest plans
• Annual Wellness Benefits
• Personal Days
• Loan Repayment Programs (9)
• Company Paid Holidays
• 3 weeks of All Paid Leave (APL) for first 2 years with full-time employment.
• On-going training & educational opportunities for professional development.