Billing Specialist

People Purpose: Beyond Competitive – It is no longer ok to just be competitive regarding how we treat our people in everything we do. Our leadership team believes wholeheartedly we need to be beyond competitive and cultivate a culture of proud, driven employees who are passionate about the work they do and where they do it. Our leadership strives to unleash unsurpassed potential in every team and individual employed and owns making that happen. Sincere, Simple, Smart.

About the Role

The Billing Specialist submits patient bills to the appropriate payers and follows up efficiently on open accounts in a timely and accurate manner. This role also ensures timely claim submission and follow-up, reconciles claims, and resolves issues to support appropriate adjudication. The Billing Specialist responds knowledgeably to a wide range of complex denial issues when working with insurance companies.

Responsibilities

• Follow Electromed mission and core values, while striving to achieve company goals
• Understand and adhere to local State and Federal healthcare regulatory and compliance rules
• Review billing files for appropriate modifiers, diagnosis codes, patient demographic information and insurance prior to submission
• Utilize multiple electronic billing, medical retrieval systems, and payer websites to resolve insurance denials and patient issues
• Communicate effectively with internal customers, including Reimbursement and Accounting Departments
• Ensure claims are processed and followed up in a timely manner to meet accounts receivables aging and cash receipt goals
• Review patient statements to ensure accuracy
• Complete payment reconciliation according to contracted payer fee schedules
• Work to achieve monthly team goals
• Educate patients on complex billing situations
• Accurately record information to internal systems
• Complete other miscellaneous tasks as needed to help support the reimbursement team

Requirements

• Two years post-secondary education or equivalent work experience
• Experience with insurance billing/reimbursement
• Experience with third-party and government payers
• Proficiency in Microsoft Office programs: Outlook, Excel, Word
• Experience with insurance claim software
• Experience with professional claim submission preferred
• High attention to detail and accuracy with the ability to handle multiple priorities
• Self-starter, motivated
• Ability to follow through professionally when working with various payers
• Ability to work independently and as a contributing team member
• Knowledge of insurance requirements and ability to evaluate medical justification to support appropriate reimbursement
• Excellent written and verbal communication skills
• Demonstrated exceptional customer service skills
• Ability to prioritize and organize
• Strong analytical and problem-solving skills

Benefits

• 6 weeks’ time off annually
• Incentive plan
• Flexible hybrid/remote work options
• Full pay maternity, paternity, parental, short-term disability leaves
• Employee driven recognition program
• Access to hundreds of training opportunities
• Company paid educational assistance
• Well-being on demand
• Perks at Work
• Competitive health and welfare plans with HSA company contribution
• 401(k) company match

Pay

The compensation range for this position is $22.00 to $30.00 hourly, with the final agreed upon rate based on individual experience, skills, and qualifications. Additional benefits include performance-based incentives.