Billing Specialist (On-Site )
HR HealthCare · Denver, CO · 3 wk ago
AccountingFull-time
We are seeking a detail-oriented and dependable Billing Specialist to join our team. This entry-level position supports the day-to-day billing operations by processing claims accurately and efficiently, maintaining billing information, and helping ensure claims are submitted in accordance with insurance payer requirements. Duties & Responsibilities Claims Processing:Process 50–90+ claims daily with a focus on accuracy.Review and verify billing codes (HCPCS), diagnostic information, and span dates for compliance.Submit claims to insurance agencies, Medicare/Medicaid, and other payers.Insurance Verification:Conduct eligibility checks using systems like Brightree and Availity.Ensure patient insurance information is up to date and communicate coverage details (deductibles, coinsurance) to relevant teams.Dispute Resolution:Handle disputes, appeals, and follow-up tasks for denied or pending claims.Address phone inquiries related to billing issues.Data Management:Maintain accurate records of claims and patient billing information.Update patient accounts and billing systems as needed.Collaboration:Work closely with the Customer Experience Team and management to resolve billing discrepancies.Support office operations as needed (e.g., shipping confirmations, Sales Order reviews). Qualifications Qualifications Education: High School DiplomaExperience: 0–2 years in a healthcare office or administrative setting. Technical Skills: Proficiency in Microsoft Office and data entry.Soft Skills: Strong communication, organizational skills, and teamwork.Preferred Knowledge: Familiarity with Brightree, Availity, or similar billing software.Claim Form: Knowledge of CMS 1500