Billing Specialist

The Billing Specialist is responsible for prevention, tracking, and follow up of denied and/or unpaid claims. The Billing Specialist reviews claims to ensure maximum reimbursement, researches payments with missing remit information or misapplied payments, and follows up with insurance carriers and patients as needed.  This position maintains consistent productivity and quality of work in a challenging, fast paced environment.

Opportunity for a hybrid-remote schedule after 60-90 days. 

ESSENTIAL FUNCTIONS:

• Timely follow up on claim denials, exceptions or exclusions.


• Contacting insurance companies to determine reasons claims are unpaid.


• Identifying denial trends to help create strategies to prevent denials wherever possible.


• File appeals as needed to resolve payer denials and work with payers and monitor appeals in process. Properly track and document all denial and appeal activity.


• Research of payments with missing remit information or misapplied payments.


• Ensure that accounts receivable is kept current according to organizational benchmarks.


• Adheres to all HIPAA guidelines/regulations.


• Other duties as assigned.

QUALIFICATIONS:

• Strong written and oral communication skills.


• Knowledge of computer systems and programs.


• Excellent customer service skills.


• Knowledge of medical terminology and human anatomy.


• 1 year experience in medical coding or billing, including experience with denials, CPT and ICD-10, preferred.

EDUCATION:

• High school graduate or equivalent.

BENEFITS:

• Medical Insurance 


• Dental Insurance


• Vision Insurance


• Basic Life & ADD Insurance


• Long Term Disability Insurance


• Voluntary Short Term Disability Insurance


• Voluntary Life & ADD Insurance


• Health Savings Account


• Employee Assistance Program


• Voluntary AFLAC Options


• Employee Discount 


• 401k Employer Match after 1 year


• 401k Profit Sharing after 1 year


• PTO (.0615 per hour paid)


• 7 paid holidays

Related Jobs: Medical Billing Specialist, Medical Biller, Certified Professional Coder

Hiring Range:  Billing Specialist - $18.50 - $32.43