Billing Specialist; On-Site

Job Location:

Denver, CO , Salary Range: $20.00 - $23.00 Hourly, We are seeking a detail-oriented and dependable Billing Specialist to join our team. This entry-level position supports the day-to-day billing operations by processing claims accurately and efficiently, maintaining billing information, and helping ensure claims are submitted in accordance with insurance payer requirements.

• Claims Processing
  • Process 50-90+ claims daily with a focus on accuracy.
  • Review and verify billing codes (HCPCS), diagnostic information, and span dates for compliance.
  • Submit claims to insurance agencies, Medicare/Medicaid, and other payers.
• Insurance Verification
  • Conduct eligibility checks using systems like Brightree and Availity.
  • Ensure patient insurance information is up to date and communicate coverage details (deductibles, coinsurance) to relevant teams.
• Dispute Resolution
  • Handle disputes, appeals, and follow-up tasks for denied or pending claims.
  • Address phone inquiries related to billing issues.
• Data Management
  • Maintain accurate records of claims and patient billing information.
  • Update patient accounts and billing systems as needed.
• Collaboration
  • Work closely with the Customer Experience Team and management to resolve billing discrepancies.
  • Support office operations as needed (e.g., shipping confirmations, Sales Order reviews).

• Education:
  
  High School Diploma
• Experience:
  
  0-2 years in a healthcare office or administrative setting.
• Technical
  
  Skills:
  
  Proficiency in Microsoft Office and data entry.
• Soft Skills:
  
  Strong communication, organizational skills, and teamwork.
• Preferred Knowledge:
  Familiarity with Brightree, Availity, or similar billing software.
• Claim Form:
  Knowledge of CMS 1500