healthcare billing specialist

way above aba

Job Description:We are a fast-growing healthcare services company offering end-to-end solutions for agencies &mdash; from startup to expansion and operations.Our services include: Agency buying &amp; selling transactions Healthcare licensing (Home Care, ABA, Telehealth, Hospice, etc.) Contracting &amp; credentialing with insurance payers Full-service medical billingWe are looking for a highly reliable and experienced professional who understands the healthcare backend and can also drive sales and client acquisition.Responsibilities:Handle inbound &amp; outbound sales calls with healthcare providersUnderstand client needs and present tailored service solutionsClose deals and bring in new businessMaintain strong relationships with clientsSupport or oversee medical billing / credentialing processes when neededWork closely with our internal team to ensure smooth onboardingRequirements:Strong experience in medical billing and/or credentialingSales experience (closing deals, handling objections, client communication)Excellent English communication skillsHighly reliable, organized, and self-motivatedAbility to work fully remote and manage your own scheduleKnowledge of healthcare agency operations is a big plusCompensation:Base pay + high commission potentialPerformance-based bonusesLong-term growth opportunityWhy Join Us:Work with a company that handles everything from startup to scalingHigh demand services with strong earning potentialFlexible remote work environmentPay: $15.00 - $25.00 per hourWork Location: Remote

Healthcare Sales & Billing Specialist (Remote) – Licensing, Credentialing & Medical Billing

Simpson General Hospital

<div>Join Our Team at Simpson General Hospital!
Position: Medical Billing Specialist 
Location: Business Office Financial Services 
Schedule: MondayFriday | 8:00 AM 4:30 PM | Full-Time 
Reports to: Business Office Director
At Simpson General Hospital (SGH), we pride ourselves on delivering high-quality healthcare in a warm, hometown environment. We're currently seeking a Medical Billing Specialist to join our Financial Services team. If you're detail-oriented, experienced in healthcare billing, and passionate about supporting patient care behind the scenes, we'd love to hear from you!<h3 class="jobSectionHeader">
Position Summary:</h3>
The Medical Billing Specialist is responsible for preparing insurance claims, following up on denials, and ensuring accurate billing through patient demographic and insurance updates. This role involves regular communication with patients, families, insurance companies, and internal departments.<h3 class="jobSectionHeader">
Essential DutiesResponsibilities:</h3><ul><li>
Edit and submit UB and 1500 claim forms</li><li>
File insurance claims and follow up on billing work queues</li><li>
Correct and rebill claims as needed</li><li>
Assist with claims data for audits</li><li>
Provide excellent customer service</li><li>
Demonstrate professionalism aligned with SGH's mission and values</li><li>
Comply with HIPAA, infection control, and safety guidelines</li><li>
Perform other duties as assigned</li></ul><h3 class="jobSectionHeader">
Qualifications:</h3><ul><li>
Education: High School Diploma or GED (Required); Associate degree (Preferred)</li><li>
Experience: 
<ul><li>
35 years in a healthcare billing/business office setting (Preferred)</li><li>
Proficiency in Microsoft Word, Excel, and customer service</li></ul></li><li>
Strong communication and interpersonal skills</li><li>
Knowledge of claims submission for Medicare, Medicaid, and major insurers</li><li>
Efficient data entry and reconciliation skills</li><li>
Ability to work independently and meet deadlines under pressure</li><li>
Familiarity with healthcare laws and regulations</li></ul><h3 class="jobSectionHeader">
Physical Requirements:</h3><ul><li>
Clear speech and hearing for effective communication</li><li>
Visual acuity for close and distant tasks</li><li>
Occasionally lift up to 25 lbs.</li></ul><h3 class="jobSectionHeader">
Benefits Include:</h3><ul><li>
Health Insurance</li><li>
Dental Insurance</li><li>
Vision Insurance</li><li>
Company-paid Life and AD&amp;D Insurance</li><li>
Supplemental Insurance Options</li><li>
403(b) Retirement Plan</li><li>
Paid Time Off (PTO)</li><li>
Sick Time Off (STO)</li><li>
Discounted In-House Services at SGH ClinicsHospital</li></ul><h3 class="jobSectionHeader">
Ready to Apply?</h3>
Be part of a team that values accuracy, compassion, and community care. Apply today and help us continue providing exceptional service to our patients and families!</div>

Billing Specialist

Rehabilitation Equipment Associates

Job SummaryREQ, a family owned Durable Medical Company in Manchester, is looking for a Billing Specialist to join our awesome Billing Team! The Billing Specialist plays a crucial role in the healthcare industry by ensuring accurate and timely billing processes.Candidate will work with insurance companies to ensure proper reimbursement, management and processing of accounts in a timely manner.<ul><li>Responsibilities include pre-authorization of benefits and eligibility, refiling claims, payer and client account follow-ups.</li><li>Review and analyze medical records for proper coding and billing.</li><li>Assign appropriate diagnostic and procedural codes.</li><li>Experience in medical office billing or collections is preferred.</li><li>Strong attention to detail and accuracy in data entry.</li><li>Excellent communication skills to interact with patients, providers, and insurance companies.</li></ul>On-the-job training provided. Candidate may submit resume.<ul><li>We are an Equal Opportunity Employer!</li></ul>Job Type: Full-timeBenefits:<ul><li>401(k)</li><li>Dental insurance</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

Billing Representative

Tampa General Hospital

<div><div>Pharmacy Billing Specialist - Outpatient Specialty - (260001CE)<div>
</div></div><div>
Description<div></div> 
The Pharmacy Billing Specialist handles all medication billing functions within Pharmacy Services. Responsibilities include verifying insurance eligibility, facilitating prior authorizations, and collaborating with third-party payers and clinical offices. The specialist works with patients and providers to ensure access to medications and assists with denial appeals and financial assistance through funding sources. Additionally, the role involves auditing hospital pharmacy billing, resolving claim rejections, and supporting medical bill audits. The specialist performs duties in alignment with TGH&rsquo;s mission, vision, and values.<div> 
</div></div><div>
Qualifications<div>
</div><ul><li>
Associate's Degree Relevant Field</li><li>
Registered Pharmacy Technician</li><li>
Two (2) years of experience in healthcare, retail, pharmacy, or billing. Experience may be considered in 
lieu of degree.</li></ul><div>
</div></div><div>
Primary Location: Tampa</div><div>
Work Locations: TGH Main Campus 1 Tampa General Circle Tampa 33601</div><div>
Eligible for Remote Work: Hybrid Remote</div><div>
Job: Pharmacy</div><div>
Organization: Florida Health Sciences Center Tampa General Hospital</div><div>
Schedule: Full-time</div><div>
Scheduled Days: Monday, Tuesday, Wednesday, Thursday, Friday</div><div>
Shift: Day Job</div><div>
Job Type: Hybrid Remote</div><div>
Shift Hours: Day shifts 8am to 4:30pm Monday to Friday</div><div>
Minimum Salary: 43,180.80</div><div>
Job Posting: Mar 31, 2026, 9:15:20 AM</div></div>

Pharmacy Billing Specialist - Outpatient Specialty

Renown Health

<div>
 
 Position Purpose
 
 
 
 The Insurance and Claims Specialist will review and correct claim errors ensuring accurate, timely claim submission and account follow-up to assigned payors and reimbursement on first claim submitted. The Specialist will appeal healthcare claims denied by third-party payors to obtain reimbursement and handle difficult, hard to collect accounts that have been deemed by the insurance company as unpayable. The Specialist will conduct analysis and resolve incorrect reimbursement issues and credit balance resolution with payors. This position is responsible to know all state/federal regulations that relate to contracts and to the appeal process and/or government payor billing and follow-up regulations to include CCI, LCD/NCD and medical necessity rules.
 
 
 
 Nature and Scope
 
 
 
 
 The Insurance And Claims Specialist Is Responsible For
 
 
 
 <ul>
 <li>
 Work assigned Work Queues to correct errors, ensuring accurate claims and reimbursement on first claim submission.
 </li>
 <li>
 Audit denials and payment variances to determine root cause and correction as required.
 </li>
 <li>
 Auditing payment variances ensuring appropriate reimbursement.
 </li>
 <li>
 Provide specific and in depth contract knowledge to ensure maximum reimbursement of healthcare claims.
 </li>
 <li>
 Resolve credit balances by reviewing payments, adjustments or transfers correcting the patient account to reflect an accurate account receivable balance.
 </li>
 <li>
 Work with leadership and other internal departments to improve processes, increase accuracy, create efficiencies and decrease denials to achieve the overall goals of Renown Health.
 </li>
 <li>
 Maintain a current knowledge of CPT/HCPCS, ICD, DRG, HCFA forms, ability to manipulate and analyze 837 and all other HIPAA transaction sets.
 
 
 </li>
 </ul>
 This position is required to operate within policy and procedural guidelines that will ensure accurate accounts receivable reporting and is compliant with policy and procedural guidelines consistent with Renown Health goals and objectives.
 
 
 This position does not provide patient care.
 
 
 
 Disclaimer
 
 
 
 The foregoing description is not intended and should not be construed to be an exhaustive list of all responsibilities, skills and efforts or work conditions associated with the job. It is intended to be an accurate reflection of the general nature and level of the job.
 
 
 
 Minimum Qualifications
 
 
 
 Requirements - Required and/or Preferred
 
 
 
 Name
 
 
 
 
 Description
 
 
 
 Education:
 
 
 Must have working-level knowledge of the English language, including reading, writing and speaking English. Associates degree preferred.
 
 
 
 Experience
 
 
 
 One year healthcare billing office experience with extensive knowledge of healthcare billing, government and third party payor requirements. Associate degree or certification in accredited billing certification may be accepted in lieu of years of experience.
 
 
 
 License(s)
 
 
 
 None.
 
 
 
 Certification(s)
 
 
 
 None.
 
 
 
 Computer / Typing
 
 
 
 Must be proficient with Microsoft Office Suite, including Outlook, PowerPoint, Excel and Word and have the ability to use the computer to complete online learning requirements for job-specific competencies, access online forms and policies, complete online benefits enrollment, etc.
</div>

Insurance and Claims Specialist

Presence Developmental Services, PLLC

Presence Developmental Services, PLLC, is a private health services company. The mission of the company is to provide Social Work, Psychology, Physical Therapy, Occupational Therapy and Speech Pathology Services to persons with Developmental Disabilities in their homes, at program locations, in private offices and at other community sites.Our website is www.presencedevelopmental.comThe company has established relationships with practitioners across New York State to provide services.Based in Seneca Falls, NY, we are recruiting a Billing Specialist to support the various activities necessary to bill Medicaid, Medicare and other third party payers electronically for the services that are delivered.Familiarity with Office365 based systems is preferred, experiences with electronic health records and third-party insurance billing including Medicare and Medicaid and knowledge of healthcare systems including OPWDD, specifically, would be helpful.Minimum Qualifications: High school diploma and applicable experience.Job Types: Full-time, Part-timePay: $20.00 - $25.00 per hourBenefits:<ul><li>Flexible schedule</li><li>Health insurance</li><li>Paid time off</li></ul>Work Location: Hybrid remote in Seneca Falls, NY 13148

SonderMind

<div>
 
 About SonderMind
 
 
 
 At SonderMind, we believe everyone deserves one personalized, connected, and effective mental health destination to take care of their mental health and well-being at any stage of life. SonderMind care encompasses everything from therapy and medication management to meditation and mindfulness exercises. Our clinicians leverage our digital tools and research to deliver increasingly high-quality care and to develop thriving practices. Combining technology and human connection, SonderMind drives better outcomes through our comprehensive approach. Learn more about SonderMind at sondermind.com or download the mobile app, available on iOS and Android.
 
 
 To follow the latest SonderMind news, get to know our clients, and learn about what it&rsquo;s like to work at SonderMind, you can follow us on Instagram, Linkedin, and Twitter.
 
 
 
 About The Role
 
 
 
 As a Healthcare Billing Specialist you will be responsible for all revenue operations activities from benefits verification, claim reconciliations, resolving client billing tickets and payment collections. This position will report directly to the Associate Manager of Billing and will work closely with other functional areas in the department including customer success to promote the highest level of patient satisfaction. You will be joining a team that is highly collaborative, supportive, and adaptable.
 
 
 Successful candidates will be able to communicate effectively both to internal stakeholders as well as insurance representatives, think critically to resolve issues, be willing to learn, be open to feedback, and be champions of the SonderMind brand while working in a fully remote environment. This is an excellent opportunity for those with 3+ years of experience in the full revenue cycle, particularly with Managed care Payors and Government Payors. Your journey at SonderMind will be about more than just a job; it will be about personal fulfillment, professional growth, and the chance to leave a lasting legacy in the world of mental health.
 
 
 What you&rsquo;ll do
 
 
 <ul>
 <li>
 Resolve aging AR through root cause analysis and follow up remediation actions.
 </li>
 <li>
 Handle client and provider billing inquiry escalations
 </li>
 <li>
 Investigate, appeal and resolve denied or underpaid claims
 </li>
 <li>
 Resolve outstanding client and insurance balances through claims reconciliation with Managed Care payors
 </li>
 <li>
 Communicate with providers and support teams to correct billing issues and or provide clear answers to billing tickets.
 </li>
 <li>
 Other responsibilities and ad-hoc projects from time to time based on business needs.
 
 
 </li>
 </ul>
 
 What does success look like?
 
 
 
 <ul>
 <li>
 Within one week: Be able to understand the full revenue cycle, including learning processes, adapting to tools, and becoming familiar with the revenue workflow.
 </li>
 <li>
 Within two weeks: Be able to communicate directly with clients, providers and CS teams answering and resolving billing and claim issues; dive into claims submission and research rejected, incorrect, or outstanding claims and/or patient issues.
 </li>
 <li>
 Within one month: Be able to see positive accounts receivable collection improvements through payment posting, working outstanding AR, and charging outstanding cost share in the charging queue.
 </li>
 <li>
 Within two months: Be able to see positive revenue workflow efficiency, with the company goal to increase collection rates to 98% as an individual contributor.
 </li>
 <li>
 Ongoing: Be able to effectively adhere to internal Revenue Operations processes and maintain the productivity metric.
 
 
 </li>
 </ul>
 Who You Are
 
 
 
 Required Education/Experience:
 
 
 
 <ul>
 <li>
 High school/GED preferred
 </li>
 <li>
 Knowledge of insurance plans and contractual arrangements affecting payments
 </li>
 <li>
 Strong knowledge of CPT and ICD-10 coding.
 </li>
 <li>
 2+ years of direct customer service in the healthcare industry or related field
 </li>
 <li>
 3+ years of Insurance collection experience (benefit verification, billing and collection, reconsiderations and appeals.)
 </li>
 <li>
 Demonstrated accounts receivable experience
 </li>
 <li>
 Comfort and interest in working in a fast-paced, ever evolving environment
 </li>
 <li>
 Intermediate Excel skills
 </li>
 <li>
 Experience with EMR/EHR systems and payer portals
 
 
 </li>
 </ul>
 
 Preferred:
 
 
 
 <ul>
 <li>
 Experience in behavioral/mental health billing.
 </li>
 <li>
 Experience working in a remote setting.
 </li>
 <li>
 Self-motivated and driven
 </li>
 <li>
 A team player who communicates clearly and collaborates well.
 
 
 </li>
 </ul>
 
 Our Benefits
 
 
 
 The hourly rate is $21.000 - $23.00/hr.
 
 
 As leaders in redesigning behavioral health, we walk the walk with our employees' benefits. We want the experience of working at SonderMind to accelerate people&rsquo;s careers and enrich their lives, so we focus on meeting SonderMinders wherever they are and supporting them in all facets of their lives and work.
 
 
 
 Our benefits include:
 
 
 
 <ul>
 <li>
 A generous PTO policy, with a minimum of three weeks off per year
 </li>
 <li>
 A holiday schedule that follows standard U.S. holidays
 </li>
 <li>
 Free therapy coverage benefits to ensure employees have access to the care they need (must be enrolled in a qualifying medical plan to participate)
 </li>
 <li>
 Competitive Medical, Dental, and Vision coverage, with plans to meet every need &mdash; including HSA (with $1,100 company contribution) and FSA options
 </li>
 <li>
 Employer-paid short-term disability, long-term disability, life &amp; AD&amp;D, plus coverage of the salary difference for up to seven weeks of short-term disability leave (after the required waiting period)
 </li>
 <li>
 Eight weeks of paid Parental Leave; if the parent also qualifies for STD, this benefit is in addition, allowing for 8&ndash;16 weeks of paid leave
 </li>
 <li>
 401(k) retirement plan with 100% match on up to 4% of base salary, immediately vested
 </li>
 <li>
 Join teammates from across the country at our annual company gathering
 </li>
 <li>
 Company shutdown between Christmas and New Year&rsquo;s
 </li>
 <li>
 Supplemental life insurance, pet insurance, commuter benefits, and more
 
 
 </li>
 </ul>
 
 Application Deadline
 
 
 
 This position will be an ongoing recruitment process and will be open until filled.
 
 
 
 Equal Opportunity
 
 
 
 SonderMind does not discriminate in employment opportunities or practices based on race, color, creed, sex, gender, gender identity or expression, pregnancy, childbirth or related medical conditions, religion, veteran and military status, marital status, registered domestic partner status, age, national origin or ancestry, physical or mental disability, medical condition (including genetic information or characteristics), sexual orientation, or any other characteristic protected by applicable federal, state, or local laws.
 
 
</div>

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10000 healthcare billing specialist jobs Near Me

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