Billing Specialist - Full Time

About the role

HSS is seeking a Billing Specialist - Full Time to join a dedicated team focused on seamless, reliable service in healthcare. The role plays a crucial part in ensuring accurate and timely billing operations.

Responsibilities

• Review, prepare, and submit insurance claims accurately and in a timely manner based on services rendered and payer requirements.
• Ensure claims meet payer-specific rules, modifiers, documentation, and coverage guidelines.
• Identify billing errors or missing information prior to submission and correct accounts as needed.
• Actively work assigned AR, including follow-up on unpaid, underpaid, or denied claims.
• Track escalated claims and ensure timely resolution.
• Update terminated or incorrect insurance information promptly to prevent billing delays.
• Escalate complex or recurring issues to leadership, payer representatives, or internal departments.
• Clearly document actions taken and outcomes within billing systems.
• Respond professionally to patient and internal inquiries regarding billing and insurance issues.
• Absorb payer-specific or workflow-related issues impacting reimbursement.
• Identify workflow gaps, system issues, or training needs impacting billing accuracy or collections.
• Propose solutions to improve efficiency, reduce denials, and shorten AR days.

Qualifications

• High School Diploma required; Associates or Bachelor’s degree preferred.
• Prior experience in medical billing, insurance follow-up, customer service, or healthcare administration preferred but not required.
• Completion of relevant coursework, training programs, or certifications in medical billing, coding, or healthcare revenue cycle is a plus.
• Ability and willingness to learn payer rules, billing systems, and internal workflows through on-the-job training.
• Strong interest in building a career in healthcare revenue cycle or medical billing.

Benefits

• Medical, Dental, and Vision insurance.
• 401K with 3% company contribution after one year and 1,000 hours worked.
• Generous PTO, Vacation, and 9 Paid Holidays.
• Short Term Disability (optional) and Company-Paid Long-Term Disability.
• Free Confidential Employee Assistance Program.
• Exclusive Tuition Reimbursement Program with Niagara University - save on master's degree programs.

Pay

$18.00- $20.00, per hour dependent on experience.

Schedule

Full Time.