Billing Specialist

What You’ll Do:

• Perform accurate and timely charge entry for multiple divisions.
• Review charges for completeness, coding accuracy, and payer-specific requirements.
• Monitor and manage billing work queues to ensure claims are processed within established timelines.
• Identify, research, and resolve claim edits, rejections, and billing exceptions.
• Collaborate with an outsourced billing vendor to ensure claims are billed correctly and follow-up activities are completed timely.
• Utilize Excel to analyze billing data, identify trends, and reconcile reports.
• Track vendor performance and escalate billing issues when necessary.
• Work closely with coding, front-end, and clinical teams to resolve billing discrepancies.
• Assist with process improvement initiatives and workflow optimization.

Qualifications:

• Minimum 2 years of medical billing experience required.
• Strong understanding of CPT, ICD-10, HCPCS, modifiers, and insurance billing guidelines.
• Experience with charge entry, claim submission, and revenue cycle workflows.
• Proficiency in Microsoft Excel, including Pivot Tables, VLOOKUP/XLOOKUP, filtering, and data analysis.
• Experience working with outsourced billing vendors preferred.
• Knowledge of Medicare, Medicaid, Commercial billing preferred.
• Experience with Modernizing Medicine (ModMed) Practice Management and EMR systems is strongly preferred.

Skills & Competencies:

• Exceptional attention to detail and accuracy.
• Strong analytical and problem-solving skills.
• Ability to prioritize and manage multiple tasks simultaneously.
• Excellent communication and interpersonal skills.
• Self-motivated with the ability to work independently and as part of a collaborative team.
• Comfortable working in a high-volume, fast-paced healthcare environment.

What We Offer:

• Excellent growth and advancement opportunities.
• Dynamic environment.
• Access to a diverse network of practitioners.
• Broad infrastructure of tools and programs to enhance the employee experience.
• Competitive Compensation.
• Generous PTO Benefits package: health, dental, vision, 401(k), etc.