Billing Specialist,

Your Role

The Billing Specialist will oversee the billing process for customers and patients. They will coordinate and execute processes of front-end medical billing of commercial insurance and government program claims for all Cardiology devices. This consists of: Ensure all posting of charges are accurate, submit and re-submit billing data to the appropriate insurance providers, process claims, resolve denial instances, and achieve maximum reimbursement for services provided across all lines of business (Commercial/Medicare/Medicaid, etc). The position is responsible for ensuring the efficiency of billing operations by following federal and state billing regulations.

What You'll Be Doing

• Review patient accounts, supporting documentation, and charges for completeness, accuracy, and compliance with billing guidelines.
• Conduct quality audits of patient files to ensure claims are billed correctly and meet payer rules and regulations.
• Generate and validate commercial and government insurance claims prior to submission.
• Submit claims through EDI clearinghouses, process paper claims as needed, and manage supporting documentation.
• Monitor and resolve unbillable revenue, claim rejections, unbilled claims, and other billing exceptions within required timeframes.
• Follow up with insurance carriers regarding claim status, payment discrepancies, and outstanding issues.
• Apply working knowledge of CPT and ICD-10 coding to ensure accurate documentation, billing, and claim processing.
• Maintain current knowledge of reimbursement policies and billing regulations, identify process improvement opportunities, and support special projects as assigned.

What You'll Bring

• High school diploma or equivalent required, Associate degree or higher preferred
• 3+ years of experience in a medical related business environment required
• Billing database software experience required
• Clearinghouse and payer portal experience preferred
• Knowledge of insurance industry and third-party payer processes
• Proven data entry skills required
• Ability to organize and prioritize workload
• Strong attention to detail and accuracy
• Ability to work independently and manage workload
• Strong written, verbal, and interpersonal communications
• Must be proficient in Excel

Pay

The estimated base salary for this position is $44,800 to $61,600 annually. Individual pay is based upon location, skills and expertise, experience, and other relevant factors.

Schedule

Minimum of 3 days a week onsite.

Benefits

• Medical and dental coverage that start on day one
• Insurance coverage for basic life, accident, short-term and long-term disability, and business travel accident insurance
• Employee Stock Purchase Plan (ESPP) with the ability to purchase company stock at a discount
• 401(k) Retirement Savings Plan (RSP) with options for employee contributions and company matching
• Flexible Spending Accounts
• Educational assistance programs
• Paid holidays
• Paid time off ranging from 20 to 35 days based on length of service
• Family and medical leaves of absence
• Paid parental leave
• Commuting benefits
• Employee Discount Program
• Employee Assistance Program (EAP)
• Childcare benefits