insurance billing specialist

Singing River Health System

<div>At Singing River Health System, caring isn&rsquo;t just part of the job &mdash; it&rsquo;s in our DNA. Whether we&rsquo;re saving lives, supporting behind the scenes, or showing up for our community, we bring the energy, heart, and hustle every single day.
With pride, passion, and commitment, we will improve health and save lives in our community every day.
Shift:
Monday - Friday
Location:
Lingle Building<h1 class="jobSectionHeader">
Job Description Summary</h1><h1 class="jobSectionHeader">
Job Description</h1>
Position Overview: 
The Insurance Billing Specialist submits hospital claims to multiple third-party payers including, but not limited to: Managed Care plans; Medicare and Medicaid; hospice and other specialty claims. He/She coordinates accumulation and verification of all necessary documentation required for billing and resolves claim level edits and errors as appropriate for accurate, compliant billing. The Insurance Billing Specialist performs follow up duties associated with re-billing, claim level denials, adjustments and collections of all overdue accounts in accordance with best business practices. He/She identifies problems and solutions or enhancements to resolve billing issues, including, billing frequency, required forms, and general billing requirements. The Insurance Billing Specialist communicates issues and offers suggestions to service line departments and management to improve processes within the Revenue Cycle. 
DISCLAIMER: This is not necessarily an exhaustive list of all responsibilities, duties, skills, efforts, requirements or working conditions associated with the job. While this intends to be an accurate reflection of the current job, management reserves the right to revise the job or to require that other or different tasks performed as assigned.
Education: 
High school graduate or equivalent required. Courses in business, accounting, or related fields preferred.
License: 
N/A
Certifications: 
N/A
Experience: 
A minimum of two (2) years&rsquo; experience in patient accounting, insurance or a business office required. Experience with diagnosis codes, procedure and CPT codes, NCCI edits, modifiers, and standard payer reported code sets preferred.
Reports to: 
Billing Manager
Supervises: 
None 
Physical Demands: 
Work is moderately active: involves sitting with frequent requirements to move about the office, move about the facility, and to travel to another facility within the SRHS service area. Work involves exerting a negligible amount of force frequently to lift, carry, push, pull, or otherwise move objects, including the human body.
Work involves using many physical motions in performing daily work activities; subject to exposure of body fluids, sputum and tissues, which may carry the hazard of infectious disease. Work involves using repetitive motions: substantial movements of the wrists, hands, and or fingers while operating standard office equipment such as computer keyboard.
Work involves being able to perceive the nature of sound at normal speaking levels with or without correction; the ability to make fine discriminations in sound. Work requires close visual and acuity and the ability to adjust the eye to bring an object into sharp focus, i.e. shift gaze from viewing a computer monitor to forms/printed material that are closer to compare data at close vision.
Must be able to be active for extended periods of time without experiencing undue fatigue. Must be able to work schedules assigned with the understanding that changes may be instituted according to the needs of the hospital for off days, shifts or weekends.
Mental Demands: 
Must demonstrate keen mental faculties/assessment and decision making abilities. Must demonstrate superior communication/speaking/enunciation skills to receive and give information in person and by telephone. Must demonstrate strong written and verbal communication skills. Must possess emotional stability conducive to dealing with high stress levels. Must demonstrate ability to work under pressure and meet deadlines. 
Attention to detail and the ability to multi-task in complex situations is required. Must have the ability to maintain collaborative and respectable working relationships throughout SRHS and other organizations
Special Demands: 
Must possess superior customer service skills and professional etiquette. Must possess proficient knowledge and ability to use a computer (must be keyboard proficient) and other office technology (i.e., telephone, fax, etc.), MS Outlook and Word.
Must be able to demonstrate appropriate clinical judgment and apply appropriate professional skills to a patient population of all ages. 
If you&rsquo;re looking for purpose, teamwork, and a place where what you do truly matters, you&rsquo;ve found it. Let&rsquo;s do big things together. Apply now and join our team.</div>

Insurance Billing Specialist

Sensibill Services

Overview Join our dynamic healthcare team as an Insurance Billing Specialist, where your expertise will drive accurate and efficient medical billing processes. In this vital role, you will manage insurance claims, ensure precise coding, and facilitate smooth communication between healthcare providers and insurance companies. Your proactive approach will help optimize revenue cycles and improve patient satisfaction by resolving billing issues promptly. If you thrive in a fast-paced environment and are passionate about medical coding and billing, this is the perfect opportunity to make a meaningful impact in healthcare administration.Duties<ul><li>Review and process medical claims using Electronic Medical Record (EMR) and Electronic Health Record (EHR) systems to ensure accuracy and completeness.</li><li>Assign appropriate diagnosis codes (ICD-9, ICD-10) and procedure codes (CPT) to support billing submissions.</li><li>Verify insurance coverage, DRG (Diagnosis-Related Group) classifications, and patient eligibility before submitting claims.</li><li>Follow up on unpaid or denied claims through effective communication with insurance providers to secure timely reimbursements.</li><li>Maintain detailed medical records, ensuring all documentation aligns with billing requirements and medical terminology standards.</li><li>Collaborate with medical office staff to resolve discrepancies related to medical records or coding errors.</li><li>Stay updated on changes in medical coding regulations, insurance policies, and billing procedures to ensure compliance.</li></ul>Requirements<ul><li>Proven experience in medical billing, coding, or related healthcare administrative roles.</li><li>Strong knowledge of DRG classifications, CPT coding, ICD-9, ICD-10 coding systems, and medical terminology.</li><li>Familiarity with EMR/EHR systems used for managing medical records and billing data.</li><li>Excellent understanding of medical collection processes and insurance claim submission workflows.</li><li>Ability to interpret complex medical records accurately and apply appropriate codes efficiently.</li><li>Detail-oriented with strong organizational skills to manage multiple claims simultaneously.</li><li>Effective communication skills for liaising with insurance companies, healthcare providers, and patients. This role offers an exciting opportunity to contribute to a well-organized healthcare environment while honing your expertise in medical coding and billing processes. We value energetic professionals who are committed to accuracy, compliance, and exceptional service delivery in the healthcare industry.</li></ul>Pay: $20.00 - $25.00 per hourBenefits:<ul><li>Flexible schedule</li><li>Paid time off</li><li>Professional development assistance</li></ul>Work Location: Remote

Utah Valley Pediatrics

<div>Description:

The Insurance Billing Specialist is responsible for preparing, submitting, and following up on insurance claims to ensure timely and accurate reimbursement for services provided by Utah Valley Pediatrics. This role requires a solid understanding of medical billing processes, insurance policies, and pediatric coding. The specialist works closely with insurance companies, patients, and internal departments to resolve claim issues and maintain a smooth revenue cycle.
Requirements:

Essential Behaviors and Characteristics:<ul><li>
Exhibits a caring, positive, and cheerful attitude; is adaptable, positive and supportive, even during stressful situations.</li><li>
Treats everyone with the utmost respect and courtesy. Recognizes and supports the contributions of others, and shows patience and kindness in helping others as they learn and grow. Speaks positively and respectfully of others.</li><li>
Is honest in all of their dealings. Stays on task and uses time at work to benefit patients, coworkers, providers, and the company as a whole. Their actions reflect positively on Utah Valley Pediatrics.</li><li>
Responds promptly to the needs of others and looks for ways to help and serve.</li><li>
Offers exceptional customer service with every interaction, actively seeking opportunities to give positive, memorable service. Listens carefully and thoughtfully, and works collaboratively to help anyone in need.</li></ul>
Required Skills:<ul><li>
Customer Service: Ability to handle irate customers. Able to defuse rather than add to tense situations. Communicates with customers clearly and helps them understand what their obligations and responsibilities are. Maintains professionalism under pressure. Willing to go the extra mile to help customers resolve account or claim issues.</li><li>
Attention to Detail: Accuracy in work. Follows through completely on account issues.
</li><li>Self-starter: Ability to prioritize and manage multiple responsibilities. Can make judgement calls based on knowledge of set policies and procedures. Motivated to stay on task with little supervision.</li><li>
Basic Computer Applications: Proficient in keyboard; knowledge of Word, Excel, Outlook and internet functions.</li><li>
Communication: Ability to read, understand and follow written and oral instructions. Ability to clearly communicate needs, instructions, concerns, etc. with others.</li><li>
Office Equipment: Basic knowledge of standard office equipment such as copiers, fax, printers, etc.</li></ul>
DUTIES INCLUDE, BUT ARE NOT LIMITED TO:<ul><li>
Return billing voice-mail messages</li><li>
Timely posting of assigned miscellaneous payments</li><li>
Timely posting of assigned electronic insurance payments</li><li>
Track contracted allowable amounts</li><li>
Resolve unpaid or incorrectly paid claims in a timely manner (immediately when possible) through tracing program, insurance EOBs and patient phone calls</li><li>
Inform billing manager of any contractual or payment issues immediately</li><li>
Correctly process credit card transactions, and correctly record and store all credit card and cash payments</li><li>
Answer phone calls and resolve patient questions or concerns</li><li>
Participate in studies that will help improve overall job performance as they relate to billing processes</li><li>
Help track and manage office supplies</li><li>
Filing</li><li>
Keep office and personal areas organized and neat</li></ul>
PHYSICAL AND MENTAL DEMANDS:<ul><li>
Ability to sit for 7-8 hours a day</li><li>
Ability to use a keyboard and 10-key for 7-8 hours a day</li><li>
Some lifting (20-50 lbs.) may occasionally be required</li><li>
Occasional stress related to workload and customer problems</li></ul>
NECESSARY QUALITIES:<ul><li>
Able to create and contribute to a pleasant office atmosphere</li><li>
Able to maintain medical and financial confidentiality</li><li>
Friendly and caring nature which keeps communication lines open</li><li>
Ability to maintain cooperative relationships with customers, physicians, co-workers and management staff</li><li>
Ability to follow and support existing policies and procedures. Willing to go through appropriate channels with suggestions for change.</li><li>
Strong desire to be helpful with both customers and co-workers</li><li>
Prior experience with E.H.R a preference.</li></ul>
WE PROVIDE TRAINING ON THE FOLLOWING:
<ul><li>Medical management software</li><li>
Medical terminology; as related to position.</li><li>
Medical coding; as related to position.</li><li>
HIPAA</li><li>
Utah Valley Pediatrics Policy and Procedure</li><li>
Insurance billing</li></ul>
EDUCATION AND EXPERIENCE:<ul><li>
High School diploma</li><li>
Experience in the Medical field is helpful but not necessary</li><li>
Experience in the Billing field is helpful but not necessary</li><li>
Must attend any training opportunities provided by Utah Valley Pediatrics</li></ul></div>

Conway Ophthalmology

We are a busy private Optometry and Ophthalmology practice located in downtown Conway. We are searching for a friendly and enthusiastic candidate who has an interest in providing great customer service while ensuring patients receive the very best eye care. We are accepting resumes and interviewing for a Medical Insurance Billing Specialist for Optometry/Ophthalmology. You must be able to multi-task, be reliable, professional, and have a friendly personality. A minimum of 2 years experience in medical billing is required.Responsibilities include but not limited to:<ul><li>Review and analyze medical documentation to ensure accurate coding and billing</li><li>Post insurance payments</li><li>Prepare, review, and transmit claims using billing software, including electronic and paper claim processing</li><li>Follow up on unpaid claims within standard billing cycle time frame</li><li>Call insurance companies regarding any discrepancy in payments</li><li>Answer patient or insurance telephone inquiries pertaining to assigned accounts</li><li>Perform other duties as needed</li></ul>If this is a position that interests you, please submit your resume with work history and references. A minimum of 2 years experience in medical billing is required. Experience in the optometric field is ideal. Full benefits package offered to full-time employees. Benefits include health and dental insurance, matching IRA contributions and Paid Time Off. Compensation is based on experience.Job 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>Experience:<ul><li>Medical Billing: 2 years (Required)</li></ul>Ability to Commute:<ul><li>Conway, SC 29526 (Required)</li></ul>Work Location: In person

Medical 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>

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

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

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