Billing Specialist

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