Billing & Collections Specialist I

Key Responsibilities

• Respond promptly and professionally to internal and external billing inquiries.
• Collaborate with cross-functional teams to resolve billing questions and support revenue cycle operations.
• Research and resolve account discrepancies and payment issues.
• Follow up on outstanding accounts receivable, insurance claims, appeals, and payer denials.
• Communicate billing processes and reimbursement information to customers and stakeholders.
• Process payer-related issues through to resolution.
• Maintain accurate account information and ensure the integrity of revenue cycle records.
• Support the movement of accounts throughout the revenue cycle process.

Requirements

• Understanding of insurance reimbursement methodologies.
• Familiarity with CPT, HCPCS, and ICD-10 coding.
• Experience with electronic claims filing and medical billing systems.
• Understanding of and commitment to HIPAA regulations and patient confidentiality.
• At least one year of experience in revenue cycle, medical billing, or collections.
• Durable Medical Equipment (DME) industry experience.
• Experience working with revenue cycle management systems.