POSITION SUMMARY

Are you detail-oriented and passionate about providing exceptional customer service? Join our team as a Billing Specialist, where you’ll play a vital role in ensuring accurate and timely billing for patient accounts. This position involves working closely with patients, providers, and insurance companies to resolve billing issues, verify insurance eligibility, and maintain compliance with regulatory standards. Your work will directly contribute to achieving departmental goals, including maintaining optimal days in Accounts Receivable (A/R).

Key Responsibilities

• Assist patients with insurance benefit questions and coverage details
• Verify insurance eligibility for in-network and out-of-network plans
• Prepare and submit accurate claims to insurance companies
• Follow up on unpaid or denied claims and initiate appeals
• Reconcile patient accounts and ensure billing accuracy
• Communicate with patients regarding balances and payment options
• Stay current with payer policies and billing regulations
• Collaborate with clinical and administrative staff for accurate charge capture
• Conduct account audits and manage credit reconciliations
• Perform additional duties as assigned by Billing Leaders or the Revenue Cycle Director

EDUCATION AND EXPERIENCE

• Education Required:
• High School Diploma required

• Associate’s degree in Business Administration, Accounting, or related financial services field preferred

  Skills and Additional Requirements

• Detail-oriented, analytical, and outcome-focused

• Excellent written and oral communication skills across multiple skill levels
• Strong collaboration and teamwork abilities
• Work Location Flexibility: Must be able to work either on-site or remotely, depending on departmental needs
• Attendance: Reliable and consistent attendance is essential
• Confidentiality & Compliance: Must uphold HIPAA and institutional policies whether working remotely or on-site

• Assist patients with insurance benefit questions and coverage details
• Verify insurance eligibility for in-network and out-of-network plans
• Prepare and submit accurate claims to insurance companies
• Follow up on unpaid or denied claims and initiate appeals
• Reconcile patient accounts and ensure billing accuracy
• Communicate with patients regarding balances and payment options
• Stay current with payer policies and billing regulations
• Collaborate with clinical and administrative staff for accurate charge capture
• Conduct account audits and manage credit reconciliations
• Perform additional duties as assigned by Billing Leaders or the Revenue Cycle Directo