insurance billing specialist

Spartanburg Regional Healthcare System

<div>
 
 Job Requirements
 
 
 
 
 Position Summary
 
 
 
 The Insurance Billing Specialist is responsible for a range of billing processes related to managing the ready to bill unbilled revenue. This position is responsible for the timely and accurate billing of all patient accounts to meet and/or exceed our departmental goals for cash collections and AR.
 
 
 
 Minimum Requirements
 
 
 
 
 Education
 
 
 
 <ul>
 <li>
 High School Diploma or equivalency
 
 
 </li>
 </ul>
 
 Experience
 
 
 
 <ul>
 <li>
 Must have had at least 4 years electronic billing and/or billing editing experience in a hospital and/or physician office setting.
 </li>
 <li>
 General Knowledge of HCPCS, CPT-4 and ICD9-10 coding and/or medical terminology.
 </li>
 <li>
 Familiar with multiple payer requirements and regulations for claims processing
 </li>
 <li>
 Solid Microsoft Office skills required.
 </li>
 <li>
 Good communication skills and the ability to courteously interact with multiple departments within SRHS
 
 
 </li>
 </ul>
 
 License/Registration/Certifications
 
 
 
 <ul>
 <li>
 N/A
 
 
 </li>
 </ul>
 
 Preferred Requirements
 
 
 
 
 Preferred Education
 
 
 
 <ul>
 <li>
 Healthcare related Associates or Bachelor&rsquo;s degree
 
 
 </li>
 </ul>
 
 Preferred Experience
 
 
 
 <ul>
 <li>
 5+years billing experience in a hospital and/or physician billing setting.
 </li>
 <li>
 Experience in billing both technical and professional charges.
 </li>
 <li>
 Experience with DDE
 </li>
 <li>
 Experience with combined/consecutive billing workflows and the ability to identify and resolve related billing issues
 </li>
 <li>
 Knowledge of commercial insurance billing, including payer specific requirements, claim edits and denials
 </li>
 <li>
 Experience reviewing EOBS and interpreting payer responses
 </li>
 <li>
 Previous experience in hospital billing, preferably within an acute care or health system environment
 </li>
 <li>
 Working knowledge of EPIC Hospital Billing
 </li>
 <li>
 Experience working hospital billing work queues
 
 
 </li>
 </ul>
 
 Preferred License/Registration/Certifications
 
 
 
 <ul>
 <li>
 Certified Revenue Cycle Associate (CRCA)
 </li>
 <li>
 Certified Professional Coder- Hospital Services (CPC-H)
 
 
 </li>
 </ul>
 
 Core Job Responsibilities
 
 
 
 <ul>
 <li>
 Responsible for all pre-bill edits and claim scrubber edits for accuracy and compliance with all government and commercial carriers billing guidelines before releasing for submission to payers.
 </li>
 <li>
 Understands and adheres to state and federal regulations and system policies regarding compliance, integrity and ethical billing practices.
 </li>
 <li>
 Must possess a good working knowledge of the UB04 and CMS 1500 claim forms and the data elements/field data required
 </li>
 <li>
 Responsible to bill all services within timely filing as defined by departmental goals and insurance guidelines.
 </li>
 <li>
 Must understand and comply with the rules regarding edits.
 </li>
 <li>
 Responsible for all billing related denials to identify trends to improve clean claim rates
 </li>
 <li>
 Responsible for multiple daily reporting of billing indicators through various reporting tools
 </li>
 <li>
 Must be able to accurately complete review and resolve all combined billing requirements to ensure compliance.
 </li>
 <li>
 Responsible to work all referrals within a 24/48-hour turnaround time from receipt.
 </li>
 <li>
 Exhibit good professional communication and customer service skills at all times while working with coworkers and employees in multiple departments within the system.
 </li>
 <li>
 Other duties as assigned
 </li>
 </ul>
</div>

Insurance Billing Specialist (Remote)

Schouest, Bamdas, Soshea and BenMaier, PLLC

Schouest, Bamdas, Soshea &amp; BenMaier, PLLC is currently seeking a Billing Specialist (FULLY ONSITE- PLEASE DO NOT APPLY IF YOU ARE LOOKING FOR REMOTE/HYBRID). The ideal candidate will have 3-5+ years of billing experience, and knowledge of electronic billing platforms. Must be a team player with high attention to detail and the ability to work in a fast-paced environment. Must possess communication skills both written and verbal. Seeking candidates with a proactive approach and strong organization skills.The position&rsquo;s essential functions include, but are not limited to the following:<ul><li>Coordinate with the Billing Team to understand client requirements and guidelines.</li><li>Perform full-cycle billing functions, including prebill and client statements, including emailing client statements.</li><li>Process edits made by attorneys on monthly prebills.</li><li>Review time entries on prebills and request revisions for insufficient entries.</li><li>Maintain client billing cycles using various electronic billing platforms.</li><li>Timely address appeals and works with attorneys and paralegals to obtain necessary explanations and backup.</li><li>Contact clients to resolve any skipped or partial payments.</li><li>Provide reports to the Finance Director as instructed.</li><li>Perform other duties and projects requested.</li><li>Prefer previous law firm experience</li></ul>Qualifications:<ul><li>3-5+ years billing experience.</li><li>All offers for employment with SBSB Law are contingent upon the candidate having successfully completed a background check.</li><li>Must be open to working fully onsite.</li></ul>SBSB Law is an Equal Opportunity EmployerNO AGENCIES OR PHONE CALLS.Job Type: Full-timePay: $25.00 - $35.00 per hourBenefits:<ul><li>401(k)</li><li>Dental insurance</li><li>Health insurance</li><li>Life insurance</li><li>Paid time off</li><li>Vision insurance</li></ul>Ability to Commute:<ul><li>Houston, TX 77002 (Required)</li></ul>Work Location: In person

Billing Specialist (ONSITE)

ASSOCIATED RETINA CONSULTANTS

<div>About Us
Since 1974, Associated Retina Consultants has an experienced team of Arizona eye specialists to diagnose and treat your vision problem. Our focus is on the retina, macula, and the vitreous humor in the eye. We work hard every day to protect and save our patients vision, helping them lead better quality lives.
Position Summary:
We are looking for an organized, efficient Medical Billing Specialist with an eye for detail and high level of accuracy. The Billing Specialist is responsible for posting insurance payments, entering charges, and assisting patients with their accounts. Position requires accuracy, thoroughness, and a good understanding of insurance procedures for referrals, co-pays, deductibles, allowable, CPT codes and Dx codes.
Responsibilities:<ul><li>
Work with personal information and maintain patient confidentiality</li><li>
Weekly and monthly reporting to executive director and billing supervisor.</li><li>
Verify the accuracy of all claims before submission and ensure all claims are submitted with a goal of zero errors and review claims and claims denials to ensure maximum reimbursement for services provided.</li><li>
Utilize monthly aging accounts receivable reports for follow-up on unpaid claims aged over 30 days.</li><li>
Review referrals and authorizations</li><li>
Respond to questions and complaints from patients or insurance companies</li><li>
Research and appeal denied claims.</li><li>
Read and interpret insurance explanation of benefits and respond to inquiries from insurance companies, patients, and providers.</li><li>
Other responsibilities as judgment or necessity dictate.</li><li>
Meet defined department goals and activity metrics.</li><li>
Initiate late payment notices to relevant parties</li><li>
Identify and bill secondary and/or third-party insurances.</li><li>
Follow set billing processes and procedures and follow all regulations and guidelines set by Medicare, state programs, and HMO/PPO.</li><li>
Ensure patient information is accurate and complete and request any missing patient information.</li><li>
Create both paper and electronic copies of documentation</li><li>
Collect delinquent accounts by establishing payment arrangements with patients; monitoring payments; following up with patients when payment lapses occur.</li></ul>
Education and Experience:<ul><li>
High School Diploma or Equivalent required.</li><li>
2+ years medical billing experience preferred.</li><li>
Knowledge of insurance guidelines including HMO/PPO, Medicare, Medicaid, and other payer requirements and systems.</li><li>
Proficient in Microsoft Word, Outlook, Excel, and 10 key calculators.</li><li>
Basic knowledge of medical terminology, including CPT/ICD-10 coding.</li><li>
Effective communication abilities for phone contacts with insurance payers to resolve issues.</li><li>
Knowledge of medical terminology likely to be encountered in medical claims</li><li>
Maintaining patient confidentiality as per the Health Insurance Portability and Accountability Act of 1996 (HIPAA).</li></ul>
Skills:<ul><li>
Planning and organizing</li><li>
Attention to detail, accuracy, and efficiency</li><li>
Problem-solving</li><li>
Teamwork</li><li>
Multitasking</li><li>
Customer service</li><li>
Electronic Medical Records (EMR)</li><li>
Communication skills - verbal and written</li><li>
Integrity</li></ul>
Benefits: Medical, Dental, Vision, Life Insurance, Disability Insurance, Paid Holidays, Vacation and Sick Time and much more.
Physical Requirements:<ul><li>
Prolonged periods sitting at a desk and working on a computer.</li><li>
Must be able to lift up to 15 pounds at times.</li></ul>
In office environment with controlled atmosphere. Possible exposure to staff or patients with communicable diseases and blood borne pathogens.
The Company has reviewed this job description to ensure that essential functions and basic duties have been included. It is intended to provide guidelines for job expectations and the employees ability to perform the position described. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills, and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate. This document does not represent a contract of employment, and the Company reserves the right to change this job description and/or assign tasks for the employee to perform, as the Company may deem appropriate.
Associated Retina Consultants is an Equal Opportunity Employer.</div>

Medical Billing Specialist

The Neurological Institute of Savannah

The Neurosurgical &amp; Spine Institute of Savannah is looking for an experienced Accounts Receivable (AR) Specialist to join our team!BenefitsOur practice prides itself on offering a competitive package for team members with a focus on wellness, retirement, and performance. Benefits available to our team members include:<ul><li>100% employer paid medical, prescription, and life insurance coverage for team members</li><li>Flexible Paid Time Off (PTO) program + paid holidays</li><li>401(k) Plan with a 50% match on up to 6%</li><li>Periodic performance bonuses including annual profit-sharing bonus that contributes to a team members potential retirement savings</li><li>Education and certification assistance</li><li>No cost for a variety of on-campus services for team members including consults, select labs, and imaging exams</li><li>Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans, and more</li></ul>AR Specialist Responsibilities:<ul><li>Actively works through list of denied claims by gathering the information needed to correct the claim or facilitate an appeal</li><li>Researches and understands issues specific to assigned payer(s) to troubleshoot the front-end processes that cause the denied claim</li><li>Taking pre-emptive measures to identify and keep practice up-to-date on any changes in billing requirements for assigned governmental and commercial payor</li><li>Monitoring assigned accounts for any repetitious registration/front end errors to support practice training efforts</li><li>Reviewing, researching, and resolving any claims that show no response back from the insurance by running reports and following the necessary steps to ensure that the claim gets processed</li><li>Promptly answering inquiries from patients, co-workers, and supervisors regarding patient accounts</li><li>Identifying which account balances are tied to patient responsibility and need to be reassigned to a patient billing specialist</li><li>Highlighting any credit balances caused by posting errors and or insurance / patient overpayments and submitting those to accounts receivable/payable for refund</li><li>Pinpointing delinquent accounts that need to be turned over to the appropriate agency for collection.</li><li>Clearly documenting all work within practice management system so others understand what follow-up and adjustments have occurred within the accounts touched</li></ul>Skills/Requirements:<ul><li>High school graduate or GED required</li><li>Additional billing and coding education preferred</li><li>Three (3) years&rsquo; experience in a revenue cycle department (charge entry, payment posting, pre-certification, collections, or billing) is required</li><li>One (1) year of experience in reviewing, researching, and resolving surgical claims is preferred</li><li>Clean background and credit history required</li></ul>Job Type: Full-timePay: $18.00 - $25.00 per hourBenefits:<ul><li>401(k)</li><li>401(k) matching</li><li>Dental insurance</li><li>Employee discount</li><li>Flexible schedule</li><li>Flexible spending account</li><li>Health insurance</li><li>Life insurance</li><li>Paid time off</li><li>Vision insurance</li></ul>Ability to Commute:<ul><li>Savannah, GA 31405 (Required)</li></ul>Ability to Relocate:<ul><li>Savannah, GA 31405: Relocate before starting work (Required)</li></ul>Work Location: In person

Medical Billing/AR Specialist

Astro Medical Billing

OverviewJoin our dynamic healthcare team as a Medical Billing Specialist and become a vital part of ensuring accurate and efficient billing processes. In this role, you will manage the full cycle of medical billing, from coding and claims submission to follow-up on outstanding balances. Your expertise will help streamline revenue cycles, improve cash flow, and enhance patient satisfaction. If you are passionate about healthcare administration and thrive in a fast-paced environment, this opportunity is perfect for you to make a meaningful impact every day.Duties<ul><li>Review and verify medical records, ensuring accuracy of documentation for billing purposes</li><li>Assign appropriate codes using CPT (Current Procedural Terminology), ICD-9, ICD-10, and DRG (Diagnosis-Related Group) systems to facilitate precise claims submission</li><li>Prepare and submit healthcare claims electronically using specialized billing software and EMR/EHR (Electronic Medical Records/Electronic Health Records) systems</li><li>Follow up on unpaid or denied claims by communicating with insurance providers and patients to resolve discrepancies</li><li>Maintain detailed records of medical billing activities, including payment histories and correspondence</li><li>Ensure compliance with healthcare claims management regulations and insurance guidelines</li><li>Collaborate with healthcare providers to clarify documentation requirements and improve coding accuracy</li></ul>Requirements<ul><li>Proven experience in medical office administration or medical billing, with familiarity using billing software and EMR/EHR systems</li><li>Strong knowledge of medical terminology, medical records management, and medical coding standards including CPT, ICD-9, ICD-10, ICD coding, DRG, and healthcare claims management</li><li>Excellent customer service skills to assist patients with billing inquiries and insurance questions</li><li>Proficiency in Microsoft Office applications for documentation and reporting purposes</li><li>Understanding of health insurance policies, benefits verification, and medical collections processes</li><li>Ability to interpret complex medical data accurately while adhering to privacy regulations</li><li>Prior experience working with medical coding (medical coding certification preferred) and health insurance procedures is highly desirable</li></ul>Embrace this opportunity to advance your career in healthcare administration by leveraging your coding expertise, attention to detail, and commitment to excellent service. Join us in delivering seamless billing experiences that support quality patient care!Pay: $22.00 - $25.00 per hourBenefits:<ul><li>401(k)</li><li>401(k) matching</li><li>Flexible schedule</li><li>Paid time off</li><li>Retirement plan</li></ul>Work Location: In person

ColonialWebb

<div>Construction Billing Specialist
The Construction Billing &amp; Operations Specialist position blends GMP billing expertise with project operations support in a fast-paced, deadline-driven environment. This role supports project setup, reporting and documentation in addition to being responsible for preparing, reconciling, and managing Guaranteed Maximum Price (GMP) billings for construction projects. The ideal candidate is detail-oriented, analytical, and able to manage complex billing processes across multiple systems while supporting daily operational tasks and meeting strict monthly deadlines.
Who We Are:
At ColonialWebb, we are deeply committed to our people, our culture, and the continued growth of our business. As a full-service MEP (Mechanical, Electrical, and Plumbing) contractor, we pride ourselves on the quality and expertise of our teams, who work across a diverse range of specialties, including New Construction, Mechanical Service, Industrial Refrigeration, and Manufacturing. For over 50 years, we've been dedicated to delivering comprehensive solutions and unmatched service to our commercial customers, earning a reputation as a trusted contractor in the industry.
Perks of Joining Colonial Webb:
<ul><li>Competitive salary of $43,000 - $70,000</li>
<li>Career development and progression</li>
<li>401(k) plan with company match</li>
<li>PTO and paid holidays</li>
<li>Excellent medical, dental, life, vision and disability benefits</li>
<li>Employee Assistance Program</li>
<li>Employee referral incentives</li>
</ul>A Day in the Life:
<ul><li>Prepare and manage GMP billings accurately and on time</li>
<li>Reconcile invoices, job costs, and supporting documentation to ensure billing accuracy</li>
<li>Support project setup, change orders, cost tracking, and reporting</li>
<li>Maintain organized project and billing documentation for audit and compliance purposes</li>
<li>Coordinate with project teams, vendors, customers, and accounting to resolve discrepancies and keep billing cycles on track</li>
<li>Manage month-end billing deadlines and ensure all eligible costs are captured</li>
<li>Use systems such as Penta, Excel, OnBase, and Procore to maintain accurate billing and project data</li>
<li>Research and resolve billing, contract, and system-related issues proactively</li>
<li>Provide general operational support and backup for other construction administration functions as needed</li>
</ul>You Should Have:
<ul><li>High school diploma or equivalent</li>
<li>3+ years of experience in construction billing, accounting, or project administration</li>
<li>Strong proficiency in Microsoft Excel (including large datasets and reconciliations)</li>
<li>Experience with GMP (Guaranteed Maximum Price) billing and/or exposure to AIA billing formats - Preferred</li>
<li>Familiarity with Penta, OnBase, Textura, or similar platforms (Procore) - Preferred</li>
<li>Attention to Detail: Ability to identify discrepancies and ensure billing accuracy</li>
<li>Analytical Thinking: Strong problem-solving and reconciliation skills</li>
<li>Time Management: Ability to meet strict deadlines, especially during month-end close</li>
<li>Organization: Effective management of high-volume billing data and documentation</li>
<li>Communication: Clear and professional interaction with project teams and stakeholders</li>
<li>Independence: Ability to work with minimal supervision while managing multiple priorities</li>
</ul>EOE M/W/Disability/Vets
 
&bull; Veterans and those with previous military experience are encouraged to apply</div>

Billing Specialist

Appalachian Regional Healthcare

<div>Overview:
<div>
Under general supervision, the Clinic Billing and Follow-Up Specialist handles essential billing and insurance follow-up functions. This role requires a fundamental understanding of insurance claim processing, knowledge of HCFA claim forms, and the ability to interpret insurance explanation of benefits (EOBs), handle denials, and perform follow-up with insurers to ensure claims resolution. The position encompasses business office responsibilities related to patient accounts, including charge import, appeals, diagnostics and procedural coding, and claim follow-up with third-party payers to achieve a zero-balance resolution.</div>
Special Instructions: Position is On-Site with Hybrid work option after at least six months Responsibilities:
<ul><li>Promote the mission, vision, and values of the organization</li><li>
Import charges from queues in a timely manner and append modifiers or any required information for claim transmission</li><li>
 Review daily accounts that are ready to be billed in Waystar from Meditech</li><li>
 Initiate correction on all claims with errors by the designated time</li><li>
Follow up on any correspondence that may have been received on that day or the previous day</li><li>
 Cross train on billing all lines of business to the different payers</li><li>
 Pull listing of all accounts assigned to be follow up by specific payer</li><li>
 Diagnostic and procedural coding</li></ul><div>
Follow-Up Responsibilities</div><ul><li>
Responsible for the resubmission of primary, secondary, and tertiary claims per respective regulations and policies.</li><li>
Communicate with third-party representatives as necessary to complete claims processing and /or resolve problem claims.</li><li>
Follow-up daily on post processing activity including but not limited to, rejected billings, adjustments, and rebilling, and denied claims for accounts.</li><li>
Maintain accounts receivable detail of their accounts through tasking.</li><li>
Maintains standards per payer for percentage accounts &gt;90 days.</li><li>
Works minimum standard number of accounts per payer per day.</li><li>
Meets or exceeds collection goals by payer each month.</li><li>
Works all assigned accounts as assigned, depending on balance.</li><li>
Complete appeals as required.</li><li>
Participates in educational activities and attends monthly department staff meetings.</li><li>
Maintains confidentiality: adheres to all HIPAA guidelines/regulations.</li><li>
Other duties as assigned from time to time.</li><li>
Attend educational activities and monthly department staff meetings</li><li>
Perform other duties as assigned</li></ul>
Qualifications:
<div><div><ul><li>High School Diploma or GED</li></ul></div><div></div><div><div> 
<ul><li>
Six months previous experience in clinic registration, billing and collections, financial counseling, or customer service preferred</li></ul></div></div><div></div><div><div> 
<ul><li>
Knowledge of medical terminology preferred</li></ul><ul><li>
Basic computer proficiency</li></ul><ul><li>
Typing speed: minimum 40 WPM</li></ul><ul><li>
Familiarity with CPT and ICD-9 coding is helpful</li></ul><ul><li>
Good written and verbal communication skills are essential for account follow-up</li></ul></div></div></div></div><div></div>

Clinic Billing Specialist

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