Billing Specialist
Performance Optimal Health · Stamford, CT · 2 mo ago
On-siteOTHRFull-time
Responsibilities
- Review and process patient claims and invoices accurately and in a timely manner
- Verify insurance eligibility and benefits; obtain and track authorizations/pre-certifications as required by payers
- Resolve billing issues, denials, and underpayments by following up with insurance companies, patients, and internal staff
- Prepare and send appeals when claims are denied or underpaid
- Maintain complete and accurate patient records, including demographic, insurance, and authorization information
- Post payments and adjustments; monitor accounts receivable and ensure balances are collected efficiently
- Communicate coverage details, patient responsibilities, and financial agreements clearly with patients
- Protect patient confidentiality and comply with HIPAA regulations
- Collaborate with the billing, clinical, and front desk teams to ensure seamless revenue cycle operations
Requirements
- High school diploma or equivalent (Associate degree preferred)
- 2+ years of experience in medical billing, AR, or insurance verification
- Working knowledge of CPT, ICD-10, and HCPCS codes and insurance reimbursement processes
- Proficiency in billing software, EMR systems, and Microsoft Office (Excel required); Prompt EMR experience is a plus
- Strong communication, organizational, and analytical skills
- Strong attention to detail and accuracy in data entry and documentation
Benefits
- Competitive pay based on experience
- Medical, Dental, and Vision Insurance
- 401K with company match
- Access to all Performance Optimal Health facilities
- Internal and external discounts
- Mentorship and growth potential within the organization
- Fun, collaborative atmosphere