Billing Specialist

Overview

A healthcare organization serving approximately 14.5 million patients annually through a network of around 890 practices nationwide is seeking a Billing Specialist. The organization focuses on coordinated clinical and operational services to improve patient outcomes.

Responsibilities

• Identify and enter correct Financial Class in the billing system
• Post extracts and correct validation errors
• Analyze and communicate billing trends to leadership
• Review documentation to determine the correct payer for accounts
• Research insurance eligibility to confirm coverage
• Ensure correct payer mapping setup
• Identify and report contract matrix discrepancies
• Analyze errors related to daily census and pre-submission
• Process eligibility-related denials and electronic rejections
• Handle returned mail, write-offs, and exception reports
• Manage document processing to ensure timely billing
• Identify Work in Process and create management reports
• Process activity codes for account classification and suspension issues
• Retrieve missing documentation from various sources
• Maintain billing documentation and daily logs
• Track time for manual sites
• Train team members as needed

Requirements

• High school diploma or GED
• Minimum one year of billing operations experience
• Preferred experience in the healthcare industry
• Knowledge of payer Financial Classifications and account exception processes
• Ability to interpret Explanation of Benefits (EOB)
• Strong communication skills to report trends
• Problem-solving skills for non-standard issues
• Proficiency in creating and analyzing billing reports
• Basic math skills
• Attention to detail and accuracy
• Ability to prioritize and work independently
• Basic proficiency with Microsoft Word, Excel, and Outlook
• Compliance with revenue cycle management billing policies

Compensation & Benefits

• Base salary starting at $17.12 per hour (excluding benefits and potential bonuses)
• Eligibility for annual corporate Success Sharing bonus program based on company performance
• Final compensation determined by skills, education, and experience
• Health plan options including medical, dental, and vision coverage
• HSA/FSA, Life and AD&D insurance
• 401(k) retirement plan with a $1.20 match per dollar up to 6% plus discretionary profit sharing (eligibility after 18 months)
• Generous paid time off starting at 3 to 4 weeks annually
• Student loan refinancing discounts
• Professional and career development programs
• Employee assistance program and travel assistance
• Wellness programs including monthly events and classes
• Flexible work hours
• Virtual team building and community engagement events

Equal Opportunity

This employer is an equal opportunity organization committed to creating an inclusive environment. All qualified applicants will receive consideration without regard to race, color, religion, gender, gender identity or expression, sexual orientation, or national origin.

Location

Nationwide (remote work implied but not explicitly stated)