Health System Services · 20 hours ago
Billing Specialist
Health System Services is dedicated to making a difference in healthcare by delivering seamless, reliable service. The Billing Specialist will ensure accurate and timely billing operations, collaborate across departments to resolve discrepancies, and contribute to the overall service experience.
Health CareHospital
Responsibilities
Review, prepare, and submit insurance claims accurately and in a timely manner based on services rendered and payer requirements
Ensure claims meet payer-specific rules, modifiers, documentation, and coverage guidelines
Identify billing errors or missing information prior to submission and correct accounts as needed
Actively work assigned AR, including follow-up on unpaid, underpaid, or denied claims
Track escalated claims and ensure timely resolution
Update terminated or incorrect insurance information promptly to prevent billing delays
Escalate complex or recurring issues to leadership, payer representatives, or internal departments
Clearly document actions taken and outcomes within billing systems
Respond professionally to patient and internal inquiries regarding billing and insurance issues
Assist in identifying payer-specific or workflow-related issues impacting reimbursement
Identify workflow gaps, system issues, or training needs impacting billing accuracy or collections
Propose solutions to improve efficiency, reduce denials, and shorten AR days
Qualification
Required
High School Diploma
Proficiency in billing software and ERP systems
Meticulous diligence in data entry and documentation
Strong knowledge of insurance billing and payor regulations
Strong analytical skills for interpreting billing data and resolving discrepancies
Effective communication skills, both verbal and written
Strong problem-solving and decision-making skills
Organizational skills to manage multiple tasks and meet deadlines
Customer service orientation with a focus on client satisfaction
Understanding of basic accounting principles and financial regulations
Ability to collaborate across departments to resolve account issues
Adaptability to change payer rules and internal workflows
Preferred
Associates or Bachelor's degree
Prior experience in medical billing, insurance follow-up, customer service, or healthcare administration
Completion of relevant coursework, training programs, or certifications in medical billing, coding, or healthcare revenue cycle
Strong interest in building a career in healthcare revenue cycle or medical billing
Benefits
Medical, Dental, and Vision insurance to keep you and your family well.
401K with 3% company contribution after one year and 1,000 hours worked
Generous PTO, Vacation and 9 Paid Holidays
Short Term Disability (optional) and Company-Paid Long-Term Disability
Free Confidential Employee Assistance Program
Exclusive Tuition Reimbursement Program with Niagara University - save on master's degree programs
Join an organization that values giving back through community programs