We are searching for a meticulous individual to take up vital duties within our healthcare organization. The responsibilities of the Billing Specialist include but are not limited to:

• Handle insurance-related claims and data entry, ensuring precision in documentation and information transfer.
• Submit insurance claims efficiently, both electronically and manually.
• Address unpaid or rejected claims through persistent follow-up with insurance entities, solving issues, and facilitating resubmission.
• Act as a primary link between our organization, insurance companies, and provider representatives to ensure timely and appropriate settlement of claims.
• Communicate impactful payment or denial situations to the leadership team.
• Oversee outstanding accounts, analyze aging reports, and verify patient eligibility and coverage.
• Collaborate with field staff to gather additional information or clarify diagnoses for claim submissions.

Candidates applying to this position are required to have the following:

• Hold at least a high school diploma or equivalent. Preferred qualifications include an associate's degree or medical billing degree, and 1-2 years of relevant professional experience.
• Be familiar with insurance and reimbursement processes, with a basic understanding of ICD 9 and CPT medical billing codes, and comprehensive knowledge of managed care authorizations and coverage limits.
• Appreciate and enforce HIPAA privacy requirements concerning patient data.
• Demonstrate a detail-oriented approach and efficiently prioritize tasks. Essential traits include excellent communication, follow-up skills, good mathematical abilities, and proficient data entry skills.
• Experience with Sycle Practice Management Software is desirable but not a prerequisite.
• Maintain strong proficiency in MS Office, general computing, and confidently use common office equipment.