Healthcare Billing Specialist

About the role

The Healthcare Biller is responsible for accurately creating, reviewing, and submitting claims to insurance carriers and other payers in a timely manner. This position verifies patient accounts and coverage information, follows claims through the revenue cycle, and helps resolve issues that may delay payment. The Healthcare Biller also serves as a backup Payment Poster and supports accurate, compliant documentation of all billing activity.

Responsibilities

• Create, review, and submit accurate electronic and paper claims to insurance carriers and other payers within established timelines.
• Confirm that claims include complete patient, provider, insurance, authorization, and charge information before submission.
• Complete patient account verifications, including confirming demographic information, insurance eligibility, benefits, coverage, and coordination of benefits, as applicable.
• Review claim edits, rejections, and payer responses; correct errors and resubmit claims promptly.
• Monitor outstanding claims and follow up with payers on unpaid, underpaid, or delayed claims.
• Document billing activity, payer communications, corrections, and follow-up actions clearly and accurately in the applicable system.
• Serve as a backup Payment Poster by accurately posting insurance and patient payments, adjustments, denials, and remittance information when needed.
• Protect patient confidentiality and perform all duties in accordance with HIPAA, payer requirements, company policies, and applicable laws and regulations.
• Perform other related duties as assigned.

Requirements

• High school diploma or equivalent required; associate degree or relevant billing certification preferred.
• One year of medical billing, healthcare revenue-cycle, claims, or related experience preferred.
• Working knowledge of medical insurance, claims submission, eligibility verification, remittance advice, and basic payment-posting processes.
• Experience using an electronic health record, practice-management system, clearinghouse, or payer portal preferred.
• Basic understanding of CPT, ICD-10-CM, and HCPCS code sets sufficient to identify and communicate potential claim issues; coding certification is not required unless otherwise specified.
• Proficiency with Microsoft Office and the ability to learn new software systems.
• This position primarily involves prolonged periods of sitting and computer use, frequent keyboarding, and regular telephone communication.
• The employee must be able to perform the essential functions of the position with or without reasonable accommodation.

Skills

• High attention to detail and commitment to accuracy.
• Strong organization, time-management, and follow-through skills.
• Ability to prioritize competing deadlines and work independently while contributing to a team.
• Analytical and problem-solving skills, including the ability to research account discrepancies.
• Clear, professional written and verbal communication.
• Integrity and discretion when handling confidential patient and financial information.
• Dependability, adaptability, accountability, empathy, and teamwork.

Pay

$23-$25