billing specialist

Summit Behavioral Healthcare

<div>Billing Specialist | Summit Healthcare Mgmt | Nashville, Tennessee
About the Job:
PURPOSE STATEMENT: 
 
The Billing Specialist is responsible for the day-to-day operations involving billing. This position will work under supervision of the Manager-Billing to resolve complex payer and operational issues to assist in the overall improvement of the daily operations necessary for a successful Centralized Business Office specializing in healthcare servicing multiple facilities.
Roles and Responsibilities:
ESSENTIAL FUNCTIONS:<ul><li>
Billing claims for assigned facilities per the direction of the Manager-Billing.</li><li>
Generating and reviewing daily billing reports.</li><li>
Ensuring all claims are properly uploaded to clearing house on a daily basis.</li><li>
Adhering to daily billing workflow.</li><li>
Ensure that daily rebills requested are rebilled the same day of request unless additional information is needed.</li><li>
Ensuring clearing house rejections are addressed in a timely manner.</li><li>
Assists with A/R Month End close process.</li></ul>
EDUCATION/EXPERIENCE/SKILL REQUIREMENTS:
<ul><li>High school diploma or GED required.</li><li>
Three or more years of computerized medical billing experience required, with one or more years&rsquo; experience in behavioral healthcare preferred.</li><li>
Advanced knowledge of UB04 and HCFA1500 forms, CPT and ICD-10 coding.</li><li>
Working knowledge of Medicare/Medicaid guidelines preferred.</li></ul>
LICENSES/DESIGNATIONS/CERTIFICATIONS:
Not Applicable.
WORK LOCATION:
This position is remote.
SUPERVISORY REQUIREMENTS:
This position is an Individual Contributor.
Why Summit Healthcare Mgmt?Summit Healthcare Mgmt offers a comprehensive benefit plan and a competitive salary commensurate with experience and qualifications. Qualified candidates should apply by submitting a resume. Summit Healthcare Mgmt is an EOE.
Veterans and military spouses are highly encouraged to apply. Summit BHC is dedicated to serving Veterans with specialized programming at our treatment centers across the country. We recognize and value the unique strengths of the military community in supporting our mission to serve those who have served.</div>

Billing Specialist

Brightwater Health

<div><div><div>Billing Specialist

Union Category: I

Hours: Full Time

Location: Duluth, MN

Wage: $18.11 - $23.49 (Dependent Upon Experience)

Benefit Eligibility: Yes 
Summary:

The Billing Specialist at Brightwater Health will navigate insurance and client billing. They help with preparing, reviewing, approving, and mailing invoices to various insurance companies. 
 
Duties:
<ul><li>Process and balance insurance and client payments in the patient billing system.</li></ul>
<ul><li>Review, release and submit electronic claims.</li></ul>
<ul><li>Review and mail client statements.</li></ul>
<ul><li>Verify insurance eligibility and following up on overdue or denied insurance claims.</li></ul>
<ul><li>Following up on missing prior authorizations</li></ul>
<ul><li>Responding to client phone calls with account questions</li></ul>
<ul><li>Prepare, review, approve, and mail invoices to various insurance companies.</li></ul>
<ul><li>Utilize the following computer programs: Microsoft Word, Excel, Internet Explorer, Carelogic, and insurance websites as needed.</li></ul>
<ul><li>Monitor and fix failed claims with Billing Supervisor support.</li></ul>
<ul><li>Run weekly and monthly reports relating to services provided in our community support programs to make sure we are providing and collecting reimbursements under the correct program and funding source.</li></ul>
<ul><li>Review and complete billing adjustments related to grants and write offs.</li></ul>
<ul><li>Monitor and fix the self-pay report.</li></ul>
<ul><li>Manage grant reporting related to client data spreadsheets.</li></ul>
<ul><li>Review and track EAP billing.</li></ul>
<ul><li>Respond to phone calls about account questions, verify insurance eligibility, prepare/mail miscellaneous invoices.</li></ul>
<ul><li>Insurance verification.</li></ul>
<ul><li>Verifying and obtaining prior authorizations when needed.</li></ul>
<ul><li>Attend meetings and other training seminars essential to billing, outpatient mental health and Brightwater health.</li></ul>
<ul><li>Agency Target Case Management Billing.</li></ul>
<ul><li>Entering and monitoring client accounts with our collection agency.</li></ul> 
Minimum Qualifications:
<ul><li>Moderate knowledge of health insurance plans.
</li></ul><ul><li>1-3 years' experience working with health insurance and an understanding of common health insurance terminology.</li></ul>
<ul><li>High school diploma or general education degree (GED) and six months of related experience.
</li></ul><ul><li>Typing 35 WPM, 10-key, good communication skills.</li></ul> 
Desired Qualifications:
<ul><li>One to 3 years' experience, knowledge or related training of health insurance, experience working with the public, ability to work in a fast-paced work environment, ability to prioritize workload, knowledge of insurance and claims/billing, good communication skills.
</li></ul><ul><li>Ability to work independently and as a team member. 
</li></ul> 
Brightwater Health Advantage:
<ul><li>Flexible Scheduling
</li></ul><ul><li>Personal Training/License renewal budget.</li></ul>
<ul><li>Ability to work collaboratively with a team and community partners.</li></ul>
<ul><li>Unparalleled opportunity for growth and advancement in largest, most comprehensive behavioral health clinic north of the Twin Cities</li></ul>
<ul><li>Emphasis on life/work balance. Start working smarter, not longer. Have the opportunity to work 36 hours every week while still getting paid for 40 hours worked.
</li></ul><ul><li>Full Benefit Package including; Vacation Time, Sick Time, Personal Time, 11 paid Holidays per calendar year, Medical Insurance, Dental Insurance, Vision Insurance, Life Insurance, AD&amp;D Insurance, Long Term Disability, Employee Assistance Program, and an Employer Matched 401K.</li></ul> 
Obtaining Applications: Apply online at https://brightwaterhealth.org/

Equal Opportunity / Affirmative Action Employer

Minorities Encouraged to Apply</div></div></div>

J. Plumbing Heating and Air Conditioning Inc.

We are a Plumbing, Heating, and Air Conditioning company looking for a Billing Specialist to join our Billing team!We are looking for a pro-active candidate who likes to research and use their analytical skills in order to bill accurately and proficiently. It is helpful but not necessary to know QuickBooks and Adobe Acrobat. We are willing to train the right candidate. This position entails having excellent computer skills with knowledge in Microsoft office/email and overall strong computer and typing skills (data entry). Additionally, to be considered for this position, we are looking for someone who is a dependable team player (very important), pro-active working independently most times, has strong basic math skills for billing and proofreading skills, attention to detail by doing research and billing accurately and on time with deadlines, demonstrates professionalism and politeness in all communications (phone, email, and with coworkers) while sometimes assisting the owner in his everyday business needs.The job will be predominantly billing and to help manage accounts receivable while sometimes assisting the owner in his daily business needs. This position is heavily centered around billing (paperwork), researching to complete billing tasks, and communication with vendors, technicians, and customers for accounts receivable collection. We are seeking a candidate with persistence, a strong drive to succeed, and the skills necessary to effectively help manage our billing and accounts receivable.This role offers a great deal of variety with each day being different while also being rewarding.Responsibilities:<ul><li>Entering in billing information to process and generate invoices accurately and in a timely manner.</li><li>Conduct thorough proofreading of billing documents to ensure accuracy</li><li>Researching jobs in order to bill correctly</li><li>Reach Daily Billing Goals</li><li>Continuously ask questions and work through obstacles till bill is complete</li><li>Work through each bill to completion</li><li>Utilize QuickBooks and Adobe for billing and financial transactions</li><li>Maintain organized records of billing activities</li><li>Provide exceptional customer service when addressing billing inquiries</li><li>Following up frequently on past due invoices</li><li>Helping assist in keeping Monday.com orders up to date</li><li>Helping to manage the company email account and drafting professional emails</li><li>Assisting the owner daily with various tasks and projects</li><li>Assist in general office tasks as needed</li></ul>Experience:<ul><li>Proven experience in billing: accounts receivable, and billing inquiries is helpful</li><li>Familiarity with QuickBooks and Adobe Acrobat software is a plus</li><li>Strong data entry skills with high accuracy</li><li>Excellent organizational abilities to manage multiple tasks effectively</li><li>Analytical Thinking skills</li><li>Proficient in Microsoft Office suite</li><li>Ability to work collaboratively in a team environment</li></ul>We are seeking a candidate who possesses the following qualities:<ul><li>Self-Driven and Proactive</li><li>Positive, Helpful, Supportive, Can-Do Attitude, Team Player</li><li>Goal-Oriented and Focused</li><li>Highly Organized</li><li>Detail Oriented in Billing</li><li>Expert Computer Skills and Fast, Proficient Typing Skills</li><li>Enjoys Conducting Research and Problem-Solving</li><li>Ability to Multitask Effectively</li><li>Excellent Problem-Solving Abilities</li></ul>Additional Responsibilities may include, but are not limited to:<ul><li>Providing assistance and information to customers, and directing calls as needed</li><li>Contributing to team efforts by efficiently accomplishing billing tasks</li><li>Providing real-time scheduling support by booking appointments and helping to prevent conflicts (Helping other staff member)</li><li>Carrying out various administrative duties such as filing, typing, copying, binding, scanning, etc.</li></ul>* This is a smoke-free environment.Please, no phone calls.Compensation will be based on experience and qualifications.Pay: $20.00 - $22.00 per hourBenefits:<ul><li>Paid time off</li></ul>Application Question(s):<ul><li>What qualities do you believe you would bring to this role?</li></ul>Education:<ul><li>Associate (Preferred)</li></ul>Experience:<ul><li>Adobe Acrobat: 1 year (Preferred)</li><li>QuickBooks: 1 year (Preferred)</li></ul>Work Location: In person

Progress Weight Management

Medical Billing SpecialistLocation: Fargo, ND (In-Person)Job Type: Full-TimePay Range: $18.00&ndash;$25.00 per hourAbout the RoleWe are seeking a detail-oriented and dependable Medical Billing Specialist to join our growing healthcare team in Fargo, North Dakota. This position plays a critical role in supporting the financial health of our organization by ensuring accurate claim submission, timely reimbursement, and exceptional patient service.The ideal candidate has prior medical billing experience, strong problem-solving skills, initiative, and a collaborative work ethic. They are confident in working with insurance claims, billing processes, revenue cycle management, and EHR systems while contributing to a mission-driven healthcare organization.Key ResponsibilitiesClaims Management &amp; Reimbursement<ul><li>Prepare, review, and submit accurate medical claims to commercial insurance carriers, Medicare, Medicaid, Tricare, and other third-party payers.</li><li>Audit claims for completeness and accuracy prior to submission.</li><li>Monitor claim status and perform follow-up on unpaid, delayed, denied, or rejected claims.</li><li>Research claim issues and coordinate appeals to maximize reimbursement.</li><li>Document all follow-up activities and claim actions within patient account records.</li></ul>Insurance Verification &amp; Eligibility<ul><li>Verify patient insurance eligibility and benefits prior to services.</li><li>Identify authorization and referral requirements when applicable.</li><li>Confirm coverage limitations and patient financial responsibility.</li></ul>Patient Billing &amp; Customer Service<ul><li>Generate and distribute patient statements.</li><li>Assist patients with billing questions, insurance explanations, account balances, and payment options.</li><li>Explain Explanation of Benefits (EOBs) and patient financial obligations in a professional manner.</li></ul>Payment Posting &amp; Account Reconciliation<ul><li>Post insurance payments, patient payments, contractual adjustments, and corrections accurately.</li><li>Reconcile account balances and investigate discrepancies.</li><li>Maintain accurate billing and payment records.</li></ul>Compliance &amp; Reporting<ul><li>Ensure compliance with HIPAA regulations and payer requirements.</li><li>Maintain confidentiality of patient information at all times.</li><li>Stay current on billing regulations, coding updates, and reimbursement guidelines.</li><li>Prepare reports and billing-related documentation as requested.</li></ul>QualificationsRequired<ul><li>High school diploma or equivalent.</li><li>Minimum 1&ndash;3 years of medical billing experience in a clinic, hospital, or healthcare billing environment.</li><li>Experience with medical billing software and Electronic Health Record (EHR) systems.</li><li>Knowledge of medical terminology and healthcare reimbursement processes.</li><li>Familiarity with ICD-10, CPT, and HCPCS coding systems.</li><li>Understanding of Medicare, Medicaid, commercial insurance, and coordination of benefits.</li><li>Strong attention to detail and organizational skills.</li><li>Excellent communication and customer service abilities.</li><li>Ability to multitask and prioritize work in a fast-paced environment.</li><li>Proficiency with computers.</li><li>Ability to maintain confidentiality and professionalism when handling sensitive information.</li></ul>Preferred<ul><li>Certified Professional Biller (CPB), Certified Billing &amp; Coding Specialist (CBCS), or similar credential.</li></ul>Benefits<ul><li>Medical, Dental &amp; Vision Insurance</li><li>Short Term Disability Insurance</li><li>Retirement</li><li>Paid Time Off (PTO)</li><li>Paid Holidays</li></ul>Pay: $18.00 - $25.00 per hourBenefits:<ul><li>Dental insurance</li><li>Health insurance</li><li>Paid time off</li><li>Retirement plan</li><li>Vision insurance</li></ul>Work Location: In person

Medical Billing Specialist

Invictus Account Management

We are looking for a Billing Specialist in our McKinney, TX location. This position is responsible for billing insurance companies for physician bills and performs other work associated with the process.Responsibilities:<ul><li>Prepares and submits physician claims to insurance carriers either electronically or by hard copy billing.</li><li>Secures needed medical documentation required or requested by third party insurances.</li><li>Follows up with third-party insurance carriers on unpaid claims until the claims are paid or only guarantor balance remains.</li><li>Handle insurance appeals.</li><li>Works with physician or medical record staff to ensure that correct diagnosis/procedures are reported to third party insurance carriers.</li><li>May assist with rebills and/or posting payments to accounts.</li><li>Monitors claims for missing information and authorization/control numbers.</li></ul>Requirements:<ul><li>Proven experience as a Billing Specialist or similar role</li><li>Working knowledge of MS Office and capability of multi-tasking in different databases</li><li>Excellent communication skills (written and oral)</li><li>Excellent problem-solving, accuracy and organizational skills</li><li>High school diploma required. Associate or Bachelor&rsquo;s degree is a plus</li><li>Previous medical office experience and knowledge of billing procedures is desired</li></ul>This position is based in McKinney, TX and the hours are 8am-5pm Monday-Thursday and 8am-4pm on Friday. Please send your resume with salary requirements to info@invictusmgmt.comJob Type: Full-timeBenefits:<ul><li>401(k)</li><li>Dental insurance</li><li>Health insurance</li><li>Paid time off</li><li>Vision insurance</li></ul>Work Location: In person

Nation's Best Family Health Care

Job Overview This position is an On-Site position and requires this person to work in the office 5 days a week.We are seeking a detail-oriented and dedicated Medical Billing Specialist to join our healthcare administration team. The ideal candidate will possess a strong understanding of medical billing processes, coding systems, and insurance claim procedures. As a Medical Billing Specialist, you will be responsible for ensuring accurate billing, coding, and collection of payments while maintaining compliance with healthcare regulations. Your expertise will contribute to the smooth financial operations of our medical practice and support optimal revenue cycle management.Responsibilities<ul><li>Review and process medical claims using appropriate coding systems such as CPT (Current Procedural Terminology), ICD-9, and ICD-10 to ensure precise reimbursement.</li><li>Assign diagnosis and procedure codes accurately based on medical records and documentation, including DRG (Diagnosis-Related Group) classifications.</li><li>Submit claims electronically through Electronic Medical Record (EMR) or Electronic Health Record (EHR) systems, ensuring timely and compliant submissions.</li><li>Follow up on unpaid or denied claims through effective medical collections strategies to maximize revenue recovery.</li><li>Maintain detailed and organized medical records and billing documentation in accordance with privacy regulations and organizational policies.</li><li>Collaborate with healthcare providers to clarify documentation discrepancies that may impact coding accuracy or reimbursement.</li><li>Stay current with updates in medical coding standards, insurance policies, and healthcare regulations to ensure ongoing compliance.</li></ul>Skills<ul><li>Proficiency in medical coding including CPT, ICD-9, ICD-10, and DRG classifications.</li><li>Strong knowledge of medical terminology, anatomy, and physiology to accurately interpret clinical documentation.</li><li>Experience working with EMR/EHR systems for billing and record management. Preferred eClinicalWorks experience.</li><li>Familiarity with medical billing procedures, insurance claim submission processes, and collections practices.</li><li>Ability to analyze medical records for accurate coding and billing purposes.</li><li>Excellent attention to detail combined with strong organizational skills to manage multiple claims efficiently.</li><li>Effective communication skills for collaborating with healthcare providers, insurance companies, and patients. Join our team as a Medical Billing Specialist to play a vital role in ensuring accurate financial operations within a dynamic healthcare environment. Your expertise will help facilitate seamless revenue cycle management while supporting high-quality patient care delivery.</li></ul>Pay: $20.00 - $22.00 per hourBenefits:<ul><li>401(k)</li><li>401(k) matching</li><li>Dental insurance</li><li>Employee assistance program</li><li>Employee discount</li><li>Health insurance</li><li>Life insurance</li><li>Paid time off</li><li>Vision insurance</li></ul>Work Location: In person

Wholistic Health and Wellness LLC

Job Overview We are seeking a Medical Billing Specialist familiar with Waystar Clearing House to join our healthcare team. In this vital role, you will be responsible for managing the full cycle of medical billing processes, ensuring accurate and timely submission of claims, and optimizing revenue flow. Your expertise will support the financial health of our practice while providing exceptional service to patients and providers alike. This position offers an exciting opportunity to apply your medical coding knowledge and billing skills in a fast-paced, collaborative environment dedicated to quality care.This position will not require much of your time and will allow you to apply your billing knowledge from the comfort of your home.You must be familiar with Waystar!Access to computer/laptop and printer is also recommended!We need your expertise today! Call us now (614)429-8731Responsibilities<ul><li>Prepare and submit insurance claims accurately using CPT (Current Procedural Terminology), ICD-9, and ICD-10 coding systems, ensuring compliance with payer guidelines, and ERA complianc.</li><li>Review medical records and documentation to verify the accuracy of diagnoses, procedures, and billing codes.</li><li>Follow up on unpaid or denied claims through effective communication with insurance companies and patients to facilitate prompt resolution.</li><li>Maintain detailed records of billing activities, payment histories, and correspondence within Electronic Medical Record (EMR) or Electronic Health Record (EHR) systems.</li><li>Collaborate with healthcare providers to clarify documentation requirements and ensure proper coding for DRG (Diagnosis-Related Group) assignments when applicable.</li><li>Monitor accounts receivable and perform collections for outstanding balances through professional outreach to patients or third-party payers.</li><li>Stay current with evolving healthcare regulations, coding updates, and billing best practices to ensure compliance and maximize reimbursement.</li></ul>Skills<ul><li>Strong understanding of medical terminology, medical records management, and healthcare documentation standards.</li><li>Proficiency in medical coding including CPT, ICD-9, ICD-10, DRG, and ICD coding systems.</li><li>Experience with medical billing processes, insurance claim submission, and medical collections.</li><li>Familiarity with EMR/EHR systems used for recording patient information and billing data.</li><li>Excellent attention to detail with the ability to analyze complex medical information accurately.</li><li>Effective communication skills for interacting with insurance companies, healthcare providers, and patients.</li><li>Knowledge of healthcare regulations related to billing practices and patient confidentiality. Join us as a Medical Billing Specialist to make a meaningful impact by ensuring smooth financial operations in a supportive healthcare environment!</li></ul>Pay: $50.00 - $100.00 per dayBenefits:<ul><li>Employee discount</li><li>Flexible schedule</li></ul>Work Location: Remote

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